45D2299922 CLIA NUMBER - ADVANCED CARE SURGERY CENTER PLLC

Laboratory Demographics

  • CLIA Code: 45D2299922
  • Facility Name: ADVANCED CARE SURGERY CENTER PLLC
  • Facility Address: 2200 PHYSICIANS BLVD SUITE A
    ENNIS, TX
    ZIP 75119
  • Facility Phone: 972 833-1062
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAO ALI
  • NPI Number: 1235994120
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D2299922
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED CARE SURGERY CENTER PLLC
Street 2200 PHYSICIANS BLVD SUITE A
City ENNIS
State TX
ZIP 75119
Phone 972 833-1062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Ambulatory Surgery Center
Lab Director RAO ALI

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