45D2294801 CLIA NUMBER - XPRESSDOC DFW

Laboratory Demographics

  • CLIA Code: 45D2294801
  • Facility Name: XPRESSDOC DFW
  • Facility Address: 4615 SHADYWOOD LANE
    COLLEYVILLE, TX
    ZIP 76034
  • Facility Phone: 773 742-8780
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: OLUSOLA BALOGUN
  • NPI Number: 1992570436
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2294801
LAB Type Mobile Laboratory
Facility Name XPRESSDOC DFW
Street 4615 SHADYWOOD LANE
City COLLEYVILLE
State TX
ZIP 76034
Phone 773 742-8780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Mobile Laboratory
Lab Director OLUSOLA BALOGUN

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