45D2255982 CLIA NUMBER - ELISABETH BROCKIE, DO

Laboratory Demographics

  • CLIA Code: 45D2255982
  • Facility Name: ELISABETH BROCKIE, DO
  • Facility Address: 4215 ALTA VISTA LN
    DALLAS, TX
    ZIP 75229
  • Facility Phone: 214 793-0135
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: ELISABETH S. BROCKIE
  • NPI Number: 1184761777
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 45D2255982
LAB Type Independent
Facility Name ELISABETH BROCKIE, DO
Street 4215 ALTA VISTA LN
City DALLAS
State TX
ZIP 75229
Phone 214 793-0135
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Independent
Lab Director ELISABETH S. BROCKIE

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