45D2228447 CLIA NUMBER - TX PRIMARY CARE PLUS

Laboratory Demographics

  • CLIA Code: 45D2228447
  • Facility Name: TX PRIMARY CARE PLUS
  • Facility Address: 5040 TENNYSON PKWY
    PLANO, TX
    ZIP 75024
  • Facility Phone: 214 607-6526
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VENKATESH MADHAV
  • NPI Number: 1952875064
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2228447
LAB Type Physician Office
Facility Name TX PRIMARY CARE PLUS
Street 5040 TENNYSON PKWY
City PLANO
State TX
ZIP 75024
Phone 214 607-6526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director VENKATESH MADHAV

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