45D2282960 CLIA NUMBER - DALLAS FORT WORTH CENTER FOR FERTILITY & IVF, PLLC

Laboratory Demographics

CLIA Number: 45D2282960

Facility Name: DALLAS FORT WORTH CENTER FOR FERTILITY & IVF, PLLC

Facility Address:
980 RAINTREE CIRCLE
ALLEN, TX
ZIP 75013
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Facility Phone Number: 214 383-2600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902221658

Taxonomy: 261QA0006X - Clinic/Center
A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

CLIA Record

Field Name	Field Value
CLIA Number	45D2282960
LAB Type	Physician Office
Facility Name	DALLAS FORT WORTH CENTER FOR FERTILITY & IVF, PLLC
Street	980 RAINTREE CIRCLE
City	ALLEN
State	TX
ZIP	75013
Phone	214 383-2600
CertificateType	4
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024