45D2157535 CLIA NUMBER - COMPLETE SURGERY MESQUITE, LLC

Laboratory Demographics

  • CLIA Code: 45D2157535
  • Facility Name: COMPLETE SURGERY MESQUITE, LLC
  • Facility Address: 3400 INTERSTATE 30 FRONTAGE RD
    MESQUITE, TX
    ZIP 75150
  • Facility Phone: 469 421-6744
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: COREY S. HOLLMAN
  • NPI Number: 1457823122
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2157535
LAB Type Ambulatory Surgery Center
Facility Name COMPLETE SURGERY MESQUITE, LLC
Street 3400 INTERSTATE 30 FRONTAGE RD
City MESQUITE
State TX
ZIP 75150
Phone 469 421-6744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Ambulatory Surgery Center
Lab Director COREY S. HOLLMAN

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