45D2158834 CLIA NUMBER - THOMAS SUDELA MD PA

Laboratory Demographics

  • CLIA Code: 45D2158834
  • Facility Name: THOMAS SUDELA MD PA
  • Facility Address: 2504 RIDGE ROAD SUITE 201
    ROCKWALL, TX
    ZIP 75087
  • Facility Phone: (972) 722-0404
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS S. SUDELA
  • NPI Number: 1093704686
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2158834
LAB Type Physician Office
Facility Name THOMAS SUDELA MD PA
Street 2504 RIDGE ROAD SUITE 201
City ROCKWALL
State TX
ZIP 75087
Phone 9727220404
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director THOMAS S. SUDELA

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This page was last updated on: 5/18/2026