45D2176239 CLIA NUMBER - CROSSOVER HEALTH

Laboratory Demographics

  • CLIA Code: 45D2176239
  • Facility Name: CROSSOVER HEALTH
  • Facility Address: 3021 GATEWAY DR SUITE 295
    IRVING, TX
    ZIP 75063
  • Facility Phone: 949 891-0328
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK LEVY
  • NPI Number: 1265087589
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D2176239
LAB Type Physician Office
Facility Name CROSSOVER HEALTH
Street 3021 GATEWAY DR SUITE 295
City IRVING
State TX
ZIP 75063
Phone 949 891-0328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director MARK LEVY

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