45D2322112 CLIA NUMBER - CLEARWAY SURGERY CENTER OF ADDISON, LLC

Laboratory Demographics

  • CLIA Code: 45D2322112
  • Facility Name: CLEARWAY SURGERY CENTER OF ADDISON, LLC
  • Facility Address: 17501 N DALLAS PKWY SUITE 150
    ARLINGTON, TX
    ZIP 76001
  • Facility Phone: 855 527-7246
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MANI HASHEMI
  • NPI Number: 1700152105
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 45D2322112
LAB Type Ambulatory Surgery Center
Facility Name CLEARWAY SURGERY CENTER OF ADDISON, LLC
Street 17501 N DALLAS PKWY SUITE 150
City ARLINGTON
State TX
ZIP 76001
Phone 855 527-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Ambulatory Surgery Center
Lab Director MANI HASHEMI

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