45D2277899 CLIA NUMBER - ADVANCED INSTITUTE FOR DIABETES & ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 45D2277899
  • Facility Name: ADVANCED INSTITUTE FOR DIABETES & ENDOCRINOLOGY
  • Facility Address: 1900 MATLOCK RD SUITE 304
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: (817) 380-4880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINDSEY M. VANDYKE
  • NPI Number: 1316558349
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2277899
LAB Type Physician Office
Facility Name ADVANCED INSTITUTE FOR DIABETES & ENDOCRINOLOGY
Street 1900 MATLOCK RD SUITE 304
City MANSFIELD
State TX
ZIP 76063
Phone 8173804880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director LINDSEY M. VANDYKE

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This page was last updated on: 5/18/2026