45D2293883 CLIA NUMBER - DIAMONDCREST MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D2293883
  • Facility Name: DIAMONDCREST MEDICAL CENTER
  • Facility Address: 291 S PRESTON RD STE 1120
    PROSPER, TX
    ZIP 75078
  • Facility Phone: 469 900-2088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARINOLA ODUMUSI
  • NPI Number: 1760256879
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2293883
LAB Type Physician Office
Facility Name DIAMONDCREST MEDICAL CENTER
Street 291 S PRESTON RD STE 1120
City PROSPER
State TX
ZIP 75078
Phone 469 900-2088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director ARINOLA ODUMUSI

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