45D2268295 CLIA NUMBER - BAYLOR SCOTT & WHITE - DALLAS DIAGNOSTIC ASSOCIATION OF PLANO - RADIOLOGY

Laboratory Demographics

  • CLIA Code: 45D2268295
  • Facility Name: BAYLOR SCOTT & WHITE - DALLAS DIAGNOSTIC ASSOCIATION OF PLANO - RADIOLOGY
  • Facility Address: 4716 ALLIANCE BLVD SUITE 600
    PLANO, TX
    ZIP 75093
  • Facility Phone: 469 800-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SEAN TOWNSEND
  • NPI Number: 1962681130
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2268295
LAB Type Physician Office
Facility Name BAYLOR SCOTT & WHITE - DALLAS DIAGNOSTIC ASSOCIATION OF PLANO - RADIOLOGY
Street 4716 ALLIANCE BLVD SUITE 600
City PLANO
State TX
ZIP 75093
Phone 469 800-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director SEAN TOWNSEND

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