45D2315599 CLIA NUMBER - SHITAL CHAVDA MD PLLC

Laboratory Demographics

  • CLIA Code: 45D2315599
  • Facility Name: SHITAL CHAVDA MD PLLC
  • Facility Address: 4214 GATEWAY DR SUITE 150
    COLLEYVILLE, TX
    ZIP 76034
  • Facility Phone: 817 354-7999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHITAL CHAVDA
  • NPI Number: 1336968098
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2315599
LAB Type Physician Office
Facility Name SHITAL CHAVDA MD PLLC
Street 4214 GATEWAY DR SUITE 150
City COLLEYVILLE
State TX
ZIP 76034
Phone 817 354-7999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director SHITAL CHAVDA

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