45D2291660 CLIA NUMBER - SPOBGYN, PLLC/EVESKARE

Laboratory Demographics

  • CLIA Code: 45D2291660
  • Facility Name: SPOBGYN, PLLC/EVESKARE
  • Facility Address: 5140 LEGENDARY DR
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 469 325-1093
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SRIDEVI PANCHAMUKHI
  • NPI Number: 1659056968
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2291660
LAB Type Physician Office
Facility Name SPOBGYN, PLLC/EVESKARE
Street 5140 LEGENDARY DR
City FRISCO
State TX
ZIP 75034
Phone 469 325-1093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director SRIDEVI PANCHAMUKHI

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