45D2292646 CLIA NUMBER - SOUTHWEST ALLERGY & ASTHMA CENTER

Laboratory Demographics

  • CLIA Code: 45D2292646
  • Facility Name: SOUTHWEST ALLERGY & ASTHMA CENTER
  • Facility Address: 1101 RAINTREE CIRCLE SUITE 140
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 972 398-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ENRIQUE QUINTERO
  • NPI Number: 1811297054
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 45D2292646
LAB Type Physician Office
Facility Name SOUTHWEST ALLERGY & ASTHMA CENTER
Street 1101 RAINTREE CIRCLE SUITE 140
City ALLEN
State TX
ZIP 75013
Phone 972 398-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director ENRIQUE QUINTERO

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