45D2246986 CLIA NUMBER - MARSALIS AVENUE FAMILY & URGENT CARE CLINIC

Laboratory Demographics

  • CLIA Code: 45D2246986
  • Facility Name: MARSALIS AVENUE FAMILY & URGENT CARE CLINIC
  • Facility Address: 4498 S MARSALIS AVE
    DALLAS, TX
    ZIP 75216
  • Facility Phone: 214 215-4425
  • Facility Type: Other - URGENT CARE CLINIC
  • Facility Type: Accreditation
  • Lab Director: DRALVES EDWARDS
  • NPI Number: 1699384115
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2246986
LAB Type Other - URGENT CARE CLINIC
Facility Name MARSALIS AVENUE FAMILY & URGENT CARE CLINIC
Street 4498 S MARSALIS AVE
City DALLAS
State TX
ZIP 75216
Phone 214 215-4425
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 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Other - URGENT CARE CLINIC
Lab Director DRALVES EDWARDS

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