45D2320950 CLIA NUMBER - DIRECT DIAGNOSTIC LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 45D2320950
  • Facility Name: DIRECT DIAGNOSTIC LABORATORY LLC
  • Facility Address: 1910 PACIFIC AVE SUITE 2000
    DALLAS, TX
    ZIP 75201
  • Facility Phone: 404 435-9685
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JENNIFER KNAACK
  • NPI Number: 1427857440
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2320950
LAB Type Independent
Facility Name DIRECT DIAGNOSTIC LABORATORY LLC
Street 1910 PACIFIC AVE SUITE 2000
City DALLAS
State TX
ZIP 75201
Phone 404 435-9685
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Independent
Lab Director JENNIFER KNAACK

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