45D2179011 CLIA NUMBER - MITCHELL HUEBNER, MD, PLLC

Laboratory Demographics

  • CLIA Code: 45D2179011
  • Facility Name: MITCHELL HUEBNER, MD, PLLC
  • Facility Address: 5477 GLEN LAKES DR SUITE 135
    DALLAS, TX
    ZIP 75231
  • Facility Phone: 214 361-2277
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MITCHELL L. HUEBNER
  • NPI Number: 1801436753
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2179011
LAB Type Physician Office
Facility Name MITCHELL HUEBNER, MD, PLLC
Street 5477 GLEN LAKES DR SUITE 135
City DALLAS
State TX
ZIP 75231
Phone 214 361-2277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director MITCHELL L. HUEBNER

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