45D2298782 CLIA NUMBER - LUMINOUS MEDICAL SOLUTIONS

Laboratory Demographics

  • CLIA Code: 45D2298782
  • Facility Name: LUMINOUS MEDICAL SOLUTIONS
  • Facility Address: 820 S MACARTHUR BLVD # 105-164
    COPPELL, TX
    ZIP 75019
  • Facility Phone: 585 269-4821
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STERGIOS ZISSIS
  • NPI Number: 1891481131
  • Taxonomy: 363LG0600X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2298782
LAB Type Practitioner Other
Facility Name LUMINOUS MEDICAL SOLUTIONS
Street 820 S MACARTHUR BLVD # 105-164
City COPPELL
State TX
ZIP 75019
Phone 585 269-4821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Practitioner Other
Lab Director STERGIOS ZISSIS

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