45D2295947 CLIA NUMBER - ENVISION IMAGING FLOWER MOUND

Laboratory Demographics

  • CLIA Code: 45D2295947
  • Facility Name: ENVISION IMAGING FLOWER MOUND
  • Facility Address: 4640 LONG PRAIRIE RD SUITE 310
    FLOWER MOUND, TX
    ZIP 75028
  • Facility Phone: 469 902-6500
  • Facility Type: Other - OUTPATIENT DIAG IMAGING
  • Facility Type: Waiver
  • Lab Director: JESSICA CATHEY
  • NPI Number: 1942081153
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2295947
LAB Type Other - OUTPATIENT DIAG IMAGING
Facility Name ENVISION IMAGING FLOWER MOUND
Street 4640 LONG PRAIRIE RD SUITE 310
City FLOWER MOUND
State TX
ZIP 75028
Phone 469 902-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Other - OUTPATIENT DIAG IMAGING
Lab Director JESSICA CATHEY

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