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45D2252200 CLIA NUMBER - MEDTRON J DIAGNOSTICS, LLC

Laboratory Demographics

CLIA Number: 45D2252200

Facility Name: MEDTRON J DIAGNOSTICS, LLC

Facility Address:
751 HEBRON PARKWAY #100
LEWISVILLE, TX
ZIP 75057
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Facility Phone Number: 281 636-5309

Facility Type: Independent

Certificate Type: Waiver
NPI Number: 1083369730

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 45D2252200
LAB Type Independent
Facility Name MEDTRON J DIAGNOSTICS, LLC
Street 751 HEBRON PARKWAY #100
City LEWISVILLE
State TX
ZIP 75057
Phone 281 636-5309
CertificateType 4
CertificateEffectiveDate 9/15/2022
CertificateExpirationDate 9/14/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024