45D2254541 CLIA NUMBER - EHP TEXAS, LLC DBA PRISM HEALTH NORTH TEXAS PHARMACY #2

Laboratory Demographics

  • CLIA Code: 45D2254541
  • Facility Name: EHP TEXAS, LLC DBA PRISM HEALTH NORTH TEXAS PHARMACY #2
  • Facility Address: 219 SUNSET AVE SUITE 116A, CONFERENCE 1A
    DALLAS, TX
    ZIP 75208
  • Facility Phone: 469 749-7288
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW S. ANDERSON
  • NPI Number: 1043834039
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2254541
LAB Type Pharmacy
Facility Name EHP TEXAS, LLC DBA PRISM HEALTH NORTH TEXAS PHARMACY #2
Street 219 SUNSET AVE SUITE 116A, CONFERENCE 1A
City DALLAS
State TX
ZIP 75208
Phone 469 749-7288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Pharmacy
Lab Director ANDREW S. ANDERSON

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