45D2162257 CLIA NUMBER - ZAKDPC, PLLC

Laboratory Demographics

  • CLIA Code: 45D2162257
  • Facility Name: ZAKDPC, PLLC
  • Facility Address: 220 N PARK BLVD SUITE 114
    GRAPEVINE, TX
    ZIP 76051
  • Facility Phone: 682 800-4008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARGARET ZAK
  • NPI Number: 1588126122
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2162257
LAB Type Physician Office
Facility Name ZAKDPC, PLLC
Street 220 N PARK BLVD SUITE 114
City GRAPEVINE
State TX
ZIP 76051
Phone 682 800-4008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director MARGARET ZAK

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