45D2322001 CLIA NUMBER - SAMIN PROFESSIONAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 45D2322001
  • Facility Name: SAMIN PROFESSIONAL SERVICES LLC
  • Facility Address: 17754 PRESTON RD STE 100
    DALLAS, TX
    ZIP 75252
  • Facility Phone: 214 837-8875
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: INEMESIT SAMPSON
  • NPI Number: 1902495799
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2322001
LAB Type Physician Office
Facility Name SAMIN PROFESSIONAL SERVICES LLC
Street 17754 PRESTON RD STE 100
City DALLAS
State TX
ZIP 75252
Phone 214 837-8875
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 INEMESIT SAMPSON

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