45D2291033 CLIA NUMBER - MED SOUTHWEST, PLLC

Laboratory Demographics

  • CLIA Code: 45D2291033
  • Facility Name: MED SOUTHWEST, PLLC
  • Facility Address: 221 N PRESTON RD STE B
    PROSPER, TX
    ZIP 75078
  • Facility Phone: (703) 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH KAVANAGH
  • NPI Number: 1043166341
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2291033
LAB Type Physician Office
Facility Name MED SOUTHWEST, PLLC
Street 221 N PRESTON RD STE B
City PROSPER
State TX
ZIP 75078
Phone 7038478899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Physician Office
Lab Director JOSEPH KAVANAGH

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This page was last updated on: 6/29/2026