45D2258645 CLIA NUMBER - NELSON LO, DDS PC

Laboratory Demographics

  • CLIA Code: 45D2258645
  • Facility Name: NELSON LO, DDS PC
  • Facility Address: 5904 CHAPEL HILL BLVD SUITE 200
    PLANO, TX
    ZIP 75093
  • Facility Phone: 214 919-7040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NELSON LO
  • NPI Number: 1134381171
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2258645
LAB Type Physician Office
Facility Name NELSON LO, DDS PC
Street 5904 CHAPEL HILL BLVD SUITE 200
City PLANO
State TX
ZIP 75093
Phone 214 919-7040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director NELSON LO

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