45D2170974 CLIA NUMBER - ATLAS OB-GYN, PLLC

Laboratory Demographics

CLIA Number: 45D2170974

Facility Name: ATLAS OB-GYN, PLLC

Facility Address:
2821 E PRESIDENT GEORGE BUSH HWY SUITE 207
RICHARDSON, TX
ZIP 75082
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Facility Phone Number: 972 907-1280

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962962423

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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
CertificateType	4
CertificateEffectiveDate	8/22/2023
CertificateExpirationDate	8/21/2025
FacilityType	Waiver

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