45D2233163 CLIA NUMBER - SPLENDID CEDAR HEALTHCARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2233163
  • Facility Name: SPLENDID CEDAR HEALTHCARE, PLLC
  • Facility Address: 1101 E ARAPAHO RD SUITE 140
    RICHARDSON, TX
    ZIP 75081
  • Facility Phone: 469 592-9371
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: CHARLOTTE F. ISAH
  • NPI Number: 1063185924
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2233163
LAB Type Independent
Facility Name SPLENDID CEDAR HEALTHCARE, PLLC
Street 1101 E ARAPAHO RD SUITE 140
City RICHARDSON
State TX
ZIP 75081
Phone 469 592-9371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Independent
Lab Director CHARLOTTE F. ISAH

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