45D2328058 CLIA NUMBER - PREMIER DIAGNOSTICS LABORATORY

Laboratory Demographics

  • CLIA Code: 45D2328058
  • Facility Name: PREMIER DIAGNOSTICS LABORATORY
  • Facility Address: 14110 DALLAS PARKWAY PLAZA, SUITE 260
    DALLAS, TX
    ZIP 75254
  • Facility Phone: 281 849-9365
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: SHETTY VIVEKANANDA
  • NPI Number: 1235016833
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2328058
LAB Type Independent
Facility Name PREMIER DIAGNOSTICS LABORATORY
Street 14110 DALLAS PARKWAY PLAZA, SUITE 260
City DALLAS
State TX
ZIP 75254
Phone 281 849-9365
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 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Independent
Lab Director SHETTY VIVEKANANDA

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