45D2314279 CLIA NUMBER - ENVISION IMAGING ROCKWALL

Laboratory Demographics

  • CLIA Code: 45D2314279
  • Facility Name: ENVISION IMAGING ROCKWALL
  • Facility Address: 6601 HORIZON RD STE A
    ROCKWALL, TX
    ZIP 75032
  • Facility Phone: (972) 268-8700
  • Facility Type: Other - OUTPATIENT DIAG IMG CTR
  • Facility Type: Waiver
  • Lab Director: ALEXIS CARPENTER
  • NPI Number: 1710731138
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2314279
LAB Type Other - OUTPATIENT DIAG IMG CTR
Facility Name ENVISION IMAGING ROCKWALL
Street 6601 HORIZON RD STE A
City ROCKWALL
State TX
ZIP 75032
Phone 9722688700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Other - OUTPATIENT DIAG IMG CTR
Lab Director ALEXIS CARPENTER

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This page was last updated on: 5/18/2026