45D2163813 CLIA NUMBER - MEDCO ER PLANO, LLC

Laboratory Demographics

CLIA Number: 45D2163813

Facility Name: MEDCO ER PLANO, LLC

Facility Address:
3960 LEGACY DR
PLANO, TX
ZIP 75023
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Facility Phone Number: 469 392-4000

Facility Type: Other - FREESTANDING ER

Certificate Type: Accreditation

NPI Number: 1174089866

Taxonomy: 261QE0002X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2163813
LAB Type	Other - FREESTANDING ER
Facility Name	MEDCO ER PLANO, LLC
Street	3960 LEGACY DR
City	PLANO
State	TX
ZIP	75023
Phone	469 392-4000
CertificateType	1
CertificateEffectiveDate	1/22/2024
CertificateExpirationDate	1/21/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024