45D2184854 CLIA NUMBER - EHP TEXAS, LLC DBA PRISM HEALTH NORTH TEXAS PHARMACY

Laboratory Demographics

  • CLIA Code: 45D2184854
  • Facility Name: EHP TEXAS, LLC DBA PRISM HEALTH NORTH TEXAS PHARMACY
  • Facility Address: 4907 SPRING AVE SUITE 101
    DALLAS, TX
    ZIP 75210
  • Facility Phone: 214 565-8551
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW S. ANDERSON
  • NPI Number: 1134696024
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2184854
LAB Type Pharmacy
Facility Name EHP TEXAS, LLC DBA PRISM HEALTH NORTH TEXAS PHARMACY
Street 4907 SPRING AVE SUITE 101
City DALLAS
State TX
ZIP 75210
Phone 214 565-8551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Pharmacy
Lab Director ANDREW S. ANDERSON

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This page was last updated on: 6/4/2025