45D2200330 CLIA NUMBER - OMALI DIAGNOSTICS, LLC DBA AMPLICON DX LAB

Laboratory Demographics

  • CLIA Code: 45D2200330
  • Facility Name: OMALI DIAGNOSTICS, LLC DBA AMPLICON DX LAB
  • Facility Address: 14219 PROTON ROAD
    FARMERS BRANCH, TX
    ZIP 75244
  • Facility Phone: 469 250-7458
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: LEE A. GROSSBERG
  • NPI Number: 1366045932
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2200330
LAB Type Independent
Facility Name OMALI DIAGNOSTICS, LLC DBA AMPLICON DX LAB
Street 14219 PROTON ROAD
City FARMERS BRANCH
State TX
ZIP 75244
Phone 469 250-7458
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Independent
Lab Director LEE A. GROSSBERG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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