45D2257706 CLIA NUMBER - CHOICE DIAGNOSTIC LAB LLC

Laboratory Demographics

  • CLIA Code: 45D2257706
  • Facility Name: CHOICE DIAGNOSTIC LAB LLC
  • Facility Address: 731 E SOUTHLAKE BLVD SUITE 180
    SOUTHLAKE, TX
    ZIP 76092
  • Facility Phone: 844 550-0308
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: PREETPAL SINGH SIDHU
  • NPI Number: 1730822248
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2257706
LAB Type Independent
Facility Name CHOICE DIAGNOSTIC LAB LLC
Street 731 E SOUTHLAKE BLVD SUITE 180
City SOUTHLAKE
State TX
ZIP 76092
Phone 844 550-0308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Independent
Lab Director PREETPAL SINGH SIDHU

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