45D2269457 CLIA NUMBER - INTRICATE HEALTH

Laboratory Demographics

  • CLIA Code: 45D2269457
  • Facility Name: INTRICATE HEALTH
  • Facility Address: 525 SHILOH RD SUITE 2100
    PLANO, TX
    ZIP 75074
  • Facility Phone: 469 599-2212
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARMAINE GIBSON
  • NPI Number: 1992433262
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2269457
LAB Type Physician Office
Facility Name INTRICATE HEALTH
Street 525 SHILOH RD SUITE 2100
City PLANO
State TX
ZIP 75074
Phone 469 599-2212
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 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director CHARMAINE GIBSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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