45D2191607 CLIA NUMBER - FIVESTAR PULMONARY ASSOCIATES, PLLC

Laboratory Demographics

  • CLIA Code: 45D2191607
  • Facility Name: FIVESTAR PULMONARY ASSOCIATES, PLLC
  • Facility Address: 981 STATE HWY 121 SUITE 1100
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 972 526-0007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY E. NEBOR
  • NPI Number: 1225647423
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2191607
LAB Type Physician Office
Facility Name FIVESTAR PULMONARY ASSOCIATES, PLLC
Street 981 STATE HWY 121 SUITE 1100
City ALLEN
State TX
ZIP 75013
Phone 972 526-0007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director ANTHONY E. NEBOR

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