45D2279996 CLIA NUMBER - DEEPA CHINTALA, MD, PA

Laboratory Demographics

  • CLIA Code: 45D2279996
  • Facility Name: DEEPA CHINTALA, MD, PA
  • Facility Address: 5520 INDEPENDENCE PKWY SUITE 201
    FRISCO, TX
    ZIP 75035
  • Facility Phone: 972 295-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEEPA CHINTALA
  • NPI Number: 1659582575
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2279996
LAB Type Physician Office
Facility Name DEEPA CHINTALA, MD, PA
Street 5520 INDEPENDENCE PKWY SUITE 201
City FRISCO
State TX
ZIP 75035
Phone 972 295-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director DEEPA CHINTALA

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