45D2304169 CLIA NUMBER - ALLEN INTERNAL MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 45D2304169
  • Facility Name: ALLEN INTERNAL MEDICINE PLLC
  • Facility Address: 931 HWY 121 SUITE 4300
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 469 649-9995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SATISH BAGDURE
  • NPI Number: 1285488080
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2304169
LAB Type Physician Office
Facility Name ALLEN INTERNAL MEDICINE PLLC
Street 931 HWY 121 SUITE 4300
City ALLEN
State TX
ZIP 75013
Phone 469 649-9995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director SATISH BAGDURE

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