45D2233378 CLIA NUMBER - AA OB GYN CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 45D2233378
  • Facility Name: AA OB GYN CLINIC PLLC
  • Facility Address: 399 W CAMPBELL RD SUITE 301
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 214 484-3444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMAL ALDURRA
  • NPI Number: 1467047704
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2233378
LAB Type Physician Office
Facility Name AA OB GYN CLINIC PLLC
Street 399 W CAMPBELL RD SUITE 301
City RICHARDSON
State TX
ZIP 75080
Phone 214 484-3444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director AMAL ALDURRA

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