45D2304340 CLIA NUMBER - ENVISION IMAGING EAST PLANO

Laboratory Demographics

  • CLIA Code: 45D2304340
  • Facility Name: ENVISION IMAGING EAST PLANO
  • Facility Address: 1861 N CENTRAL EXPY STE 500
    PLANO, TX
    ZIP 75075
  • Facility Phone: 972 353-7100
  • Facility Type: Other - OUTPATIENT DIAG IMAGING
  • Facility Type: Waiver
  • Lab Director: ALEXIS CARPENTER
  • NPI Number: 1508628306
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2304340
LAB Type Other - OUTPATIENT DIAG IMAGING
Facility Name ENVISION IMAGING EAST PLANO
Street 1861 N CENTRAL EXPY STE 500
City PLANO
State TX
ZIP 75075
Phone 972 353-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Other - OUTPATIENT DIAG IMAGING
Lab Director ALEXIS CARPENTER

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