45D2321981 CLIA NUMBER - SAFE SPACE CLINIC

Laboratory Demographics

  • CLIA Code: 45D2321981
  • Facility Name: SAFE SPACE CLINIC
  • Facility Address: 3221 INDEPENDENCE PKWY
    PLANO, TX
    ZIP 75075
  • Facility Phone: 469 233-8805
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FERDINAND AKOKO
  • NPI Number: 1366141962
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2321981
LAB Type Physician Office
Facility Name SAFE SPACE CLINIC
Street 3221 INDEPENDENCE PKWY
City PLANO
State TX
ZIP 75075
Phone 469 233-8805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director FERDINAND AKOKO

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