45D2172711 CLIA NUMBER - DALLAS PROCEDURE CENTER, LLC

Laboratory Demographics

CLIA Number: 45D2172711

Facility Name: DALLAS PROCEDURE CENTER, LLC

Facility Address:
1854 LAKEPOINT DR
LEWISVILLE, TX
ZIP 75057
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Facility Phone Number: 214 306-4116

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1154972172

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2172711
LAB Type	Ambulatory Surgery Center
Facility Name	DALLAS PROCEDURE CENTER, LLC
Street	1854 LAKEPOINT DR
City	LEWISVILLE
State	TX
ZIP	75057
Phone	214 306-4116
CertificateType	4
CertificateEffectiveDate	9/27/2023
CertificateExpirationDate	9/26/2025
FacilityType	Waiver

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