45D2291847 CLIA NUMBER - OCCUMED PLUS - C/FB, LLC

Laboratory Demographics

  • CLIA Code: 45D2291847
  • Facility Name: OCCUMED PLUS - C/FB, LLC
  • Facility Address: 1555 VALWOOD PKWY STE 100
    CARROLLTON, TX
    ZIP 75006
  • Facility Phone: 972 494-1419
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILLIP A. CASHIOLA
  • NPI Number: 1851550370
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D2291847
LAB Type Physician Office
Facility Name OCCUMED PLUS - C/FB, LLC
Street 1555 VALWOOD PKWY STE 100
City CARROLLTON
State TX
ZIP 75006
Phone 972 494-1419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director PHILLIP A. CASHIOLA

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