45D2291673 CLIA NUMBER - GRAND TETON DIAGNOSTICS CORP

Laboratory Demographics

  • CLIA Code: 45D2291673
  • Facility Name: GRAND TETON DIAGNOSTICS CORP
  • Facility Address: 1701 N COLLINS BLVD SUITE 1000
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 214 954-7483
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. TONY BELTRAN
  • NPI Number: 1023880861
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2291673
LAB Type Independent
Facility Name GRAND TETON DIAGNOSTICS CORP
Street 1701 N COLLINS BLVD SUITE 1000
City RICHARDSON
State TX
ZIP 75080
Phone 214 954-7483
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/24/2024
Certificate Expiration Date 12/23/2026
Facility Type Independent
Lab Director DR. TONY BELTRAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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