45D2280799 CLIA NUMBER - ADVANCED FACIAL, ORAL AND SKIN SURGERY

Laboratory Demographics

  • CLIA Code: 45D2280799
  • Facility Name: ADVANCED FACIAL, ORAL AND SKIN SURGERY
  • Facility Address: 5060 TENNYSON PARKWAY SUITE 200
    PLANO, TX
    ZIP 75024
  • Facility Phone: 214 556-5695
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL J. KELLY-SELL
  • NPI Number: 1811263999
  • Taxonomy: 2084N0600X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D2280799
LAB Type Physician Office
Facility Name ADVANCED FACIAL, ORAL AND SKIN SURGERY
Street 5060 TENNYSON PARKWAY SUITE 200
City PLANO
State TX
ZIP 75024
Phone 214 556-5695
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director MICHAEL J. KELLY-SELL

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