45D2310464 CLIA NUMBER - PHP INS TX PLLC

Laboratory Demographics

  • CLIA Code: 45D2310464
  • Facility Name: PHP INS TX PLLC
  • Facility Address: 3041 CHURCHILL DR #500 B
    FLOWER MOUND, TX
    ZIP 75022
  • Facility Phone: 214 666-6259
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHYAMALA MADHAVI ARANI PURUSHOTHAM
  • NPI Number: 1306455712
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2310464
LAB Type Physician Office
Facility Name PHP INS TX PLLC
Street 3041 CHURCHILL DR #500 B
City FLOWER MOUND
State TX
ZIP 75022
Phone 214 666-6259
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director SHYAMALA MADHAVI ARANI PURUSHOTHAM

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