45D2265959 CLIA NUMBER - SELECT INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2265959
  • Facility Name: SELECT INTERNAL MEDICINE
  • Facility Address: 13108 DALLAS PKWY SUITE 430
    FRISCO, TX
    ZIP 75033
  • Facility Phone: 469 200-5301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DINA DIEHL
  • NPI Number: 1215681176
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2265959
LAB Type Physician Office
Facility Name SELECT INTERNAL MEDICINE
Street 13108 DALLAS PKWY SUITE 430
City FRISCO
State TX
ZIP 75033
Phone 469 200-5301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director DINA DIEHL

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