45D2314553 CLIA NUMBER - LIFEGENIX MED, PLLC

Laboratory Demographics

  • CLIA Code: 45D2314553
  • Facility Name: LIFEGENIX MED, PLLC
  • Facility Address: 17230 DALLAS PARKWAY
    DALLAS, TX
    ZIP 75248
  • Facility Phone: 972 236-3333
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: KARLA BEARD
  • NPI Number: 1689473068
  • Taxonomy: 207XX0005X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2314553
LAB Type Health Main. Organization
Facility Name LIFEGENIX MED, PLLC
Street 17230 DALLAS PARKWAY
City DALLAS
State TX
ZIP 75248
Phone 972 236-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Health Main. Organization
Lab Director KARLA BEARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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