45D2290343 CLIA NUMBER - MAYA HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 45D2290343
  • Facility Name: MAYA HEALTH SERVICES LLC
  • Facility Address: 350 WESTPARK WAY UNIT 223
    EULESS, TX
    ZIP 76040
  • Facility Phone: 469 363-1941
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: VISHNU UPADHYAY
  • NPI Number: 1386309607
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2290343
LAB Type Practitioner Other
Facility Name MAYA HEALTH SERVICES LLC
Street 350 WESTPARK WAY UNIT 223
City EULESS
State TX
ZIP 76040
Phone 469 363-1941
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Practitioner Other
Lab Director VISHNU UPADHYAY

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