45D2324675 CLIA NUMBER - CLINICAL DIAGNOSTICS LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 45D2324675
  • Facility Name: CLINICAL DIAGNOSTICS LABORATORY LLC
  • Facility Address: 570 EDMONDS LANE, SUITE 108A
    LEWISVILLE, TX
    ZIP 75067
  • Facility Phone: 319 594-4108
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: ANUP TILAK
  • NPI Number: 1912895491
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2324675
LAB Type Independent
Facility Name CLINICAL DIAGNOSTICS LABORATORY LLC
Street 570 EDMONDS LANE, SUITE 108A
City LEWISVILLE
State TX
ZIP 75067
Phone 319 594-4108
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Independent
Lab Director ANUP TILAK

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