45D2263757 CLIA NUMBER - BELLA MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 45D2263757
  • Facility Name: BELLA MEDICAL, PLLC
  • Facility Address: 4010 W PARK BLVD
    PLANO, TX
    ZIP 75093
  • Facility Phone: 469 348-4124
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MAHDI M. AWWAD
  • NPI Number: 1841942646
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2263757
LAB Type Physician Office
Facility Name BELLA MEDICAL, PLLC
Street 4010 W PARK BLVD
City PLANO
State TX
ZIP 75093
Phone 469 348-4124
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director MAHDI M. AWWAD

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