45D2250783 CLIA NUMBER - LASER BAR

Laboratory Demographics

  • CLIA Code: 45D2250783
  • Facility Name: LASER BAR
  • Facility Address: 736 WEST DAVIS
    DALLAS, TX
    ZIP 75208
  • Facility Phone: 469 396-8514
  • Facility Type: Other - MEDICAL OFFICE
  • Facility Type: Waiver
  • Lab Director: TORRI D. ROLAND
  • NPI Number: 1437803780
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2250783
LAB Type Other - MEDICAL OFFICE
Facility Name LASER BAR
Street 736 WEST DAVIS
City DALLAS
State TX
ZIP 75208
Phone 469 396-8514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Other - MEDICAL OFFICE
Lab Director TORRI D. ROLAND

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