45D2213269 CLIA NUMBER - JERRY LEWIS MD PA TOXICOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 45D2213269
  • Facility Name: JERRY LEWIS MD PA TOXICOLOGY LABORATORY
  • Facility Address: 6161 N STATE HWY 161 SUITE 100B
    IRVING, TX
    ZIP 75038
  • Facility Phone: 214 618-9600
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: STACY HINSON
  • NPI Number: 1124005152
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2213269
LAB Type Physician Office
Facility Name JERRY LEWIS MD PA TOXICOLOGY LABORATORY
Street 6161 N STATE HWY 161 SUITE 100B
City IRVING
State TX
ZIP 75038
Phone 214 618-9600
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 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director STACY HINSON

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