45D2258867 CLIA NUMBER - PATHGEN LABORATORY, LLC

Laboratory Demographics

  • CLIA Code: 45D2258867
  • Facility Name: PATHGEN LABORATORY, LLC
  • Facility Address: 2155 CHENAULT DR SUITE 410
    CARROLLTON, TX
    ZIP 75006
  • Facility Phone: 469 466-8111
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JAGADISH ULLOOR
  • NPI Number: 1285383984
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2258867
LAB Type Independent
Facility Name PATHGEN LABORATORY, LLC
Street 2155 CHENAULT DR SUITE 410
City CARROLLTON
State TX
ZIP 75006
Phone 469 466-8111
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Independent
Lab Director DR. JAGADISH ULLOOR

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