45D2157323 CLIA NUMBER - NORTH STAR GV, LP

Laboratory Demographics

  • CLIA Code: 45D2157323
  • Facility Name: NORTH STAR GV, LP
  • Facility Address: 2535 IRA E WOODS AVE SUITE 200
    GRAPEVINE, TX
    ZIP 76051
  • Facility Phone: 469 347-3988
  • Facility Type: Other - IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: HSINGYEE E. LEE
  • NPI Number: 1962779371
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2157323
LAB Type Other - IMAGING CENTER
Facility Name NORTH STAR GV, LP
Street 2535 IRA E WOODS AVE SUITE 200
City GRAPEVINE
State TX
ZIP 76051
Phone 469 347-3988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Other - IMAGING CENTER
Lab Director HSINGYEE E. LEE

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This page was last updated on: 9/29/2025