45D2157935 CLIA NUMBER - NORTHAVEN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2157935
  • Facility Name: NORTHAVEN SURGERY CENTER
  • Facility Address: 2023 W MCDERMOTT DR SUITE 240
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 972 330-2696
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: OLIVER GHALAMBOR
  • NPI Number: 1538838081
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2157935
LAB Type Ambulatory Surgery Center
Facility Name NORTHAVEN SURGERY CENTER
Street 2023 W MCDERMOTT DR SUITE 240
City ALLEN
State TX
ZIP 75013
Phone 972 330-2696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Ambulatory Surgery Center
Lab Director OLIVER GHALAMBOR

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