45D2327056 CLIA NUMBER - FRISCO PLASTIC SURGERY, PA

Laboratory Demographics

  • CLIA Code: 45D2327056
  • Facility Name: FRISCO PLASTIC SURGERY, PA
  • Facility Address: 6898 LEBANON ROAD STE 102
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 972 334-0400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH R. SMART
  • NPI Number: 1962465393
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D2327056
LAB Type Physician Office
Facility Name FRISCO PLASTIC SURGERY, PA
Street 6898 LEBANON ROAD STE 102
City FRISCO
State TX
ZIP 75034
Phone 972 334-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director KENNETH R. SMART

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