45D2299286 CLIA NUMBER - CLINICA HF BUCKNER LLC

Laboratory Demographics

  • CLIA Code: 45D2299286
  • Facility Name: CLINICA HF BUCKNER LLC
  • Facility Address: 3045 N BUCKNER BLVD SUITE 110
    DALLAS, TX
    ZIP 75228
  • Facility Phone: 214 888-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PEDRO ENRIQUE ROSAS SANTIAGO
  • NPI Number: 1437995933
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2299286
LAB Type Physician Office
Facility Name CLINICA HF BUCKNER LLC
Street 3045 N BUCKNER BLVD SUITE 110
City DALLAS
State TX
ZIP 75228
Phone 214 888-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director PEDRO ENRIQUE ROSAS SANTIAGO

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