45D2263560 CLIA NUMBER - VILLAGE MEDICAL PLANO NORTH EAST

Laboratory Demographics

  • CLIA Code: 45D2263560
  • Facility Name: VILLAGE MEDICAL PLANO NORTH EAST
  • Facility Address: 901 LEGACY DR
    PLANO, TX
    ZIP 75023
  • Facility Phone: 972 954-3301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAN TON
  • NPI Number: 1295338358
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2263560
LAB Type Physician Office
Facility Name VILLAGE MEDICAL PLANO NORTH EAST
Street 901 LEGACY DR
City PLANO
State TX
ZIP 75023
Phone 972 954-3301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director MAN TON

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