45D2309952 CLIA NUMBER - TRANSTREME, LLC - (TEXAS)

Laboratory Demographics

  • CLIA Code: 45D2309952
  • Facility Name: TRANSTREME, LLC - (TEXAS)
  • Facility Address: 5601 EXECUTIVE DRIVE SECOND FLOOR
    IRVING, TX
    ZIP 75038
  • Facility Phone: 214 868-4371
  • Facility Type: Other - OUTPATIENT NP CLINIC
  • Facility Type: Waiver
  • Lab Director: RICKY A. MICHEL
  • NPI Number: 1982095543
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2309952
LAB Type Other - OUTPATIENT NP CLINIC
Facility Name TRANSTREME, LLC - (TEXAS)
Street 5601 EXECUTIVE DRIVE SECOND FLOOR
City IRVING
State TX
ZIP 75038
Phone 214 868-4371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Other - OUTPATIENT NP CLINIC
Lab Director RICKY A. MICHEL

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