45D2254528 CLIA NUMBER - EHP TEXAS, LLC DBA PRISM HEALTH NORTH TEXAS PHARMACY 33

Laboratory Demographics

  • CLIA Code: 45D2254528
  • Facility Name: EHP TEXAS, LLC DBA PRISM HEALTH NORTH TEXAS PHARMACY 33
  • Facility Address: 2801 LEMMON AVE SUITE 100
    DALLAS, TX
    ZIP 75204
  • Facility Phone: (469) 749-7824
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW S. ANDERSON
  • NPI Number: 1942824933
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2254528
LAB Type Physician Office
Facility Name EHP TEXAS, LLC DBA PRISM HEALTH NORTH TEXAS PHARMACY 33
Street 2801 LEMMON AVE SUITE 100
City DALLAS
State TX
ZIP 75204
Phone 4697497824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2026
Certificate Expiration Date 3/3/2028
Facility Type Physician Office
Lab Director ANDREW S. ANDERSON

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This page was last updated on: 5/18/2026