45D2170974 CLIA NUMBER - ATLAS OB-GYN, PLLC

Laboratory Demographics

  • CLIA Code: 45D2170974
  • Facility Name: ATLAS OB-GYN, PLLC
  • Facility Address: 2821 E PRESIDENT GEORGE BUSH HWY SUITE 207
    RICHARDSON, TX
    ZIP 75082
  • Facility Phone: 972 907-1280
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MINI SREEDEVI
  • NPI Number: 1962962423
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2170974
LAB Type Physician Office
Facility Name ATLAS OB-GYN, PLLC
Street 2821 E PRESIDENT GEORGE BUSH HWY SUITE 207
City RICHARDSON
State TX
ZIP 75082
Phone 972 907-1280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director MINI SREEDEVI

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