45D2329921 CLIA NUMBER - UC MEDICAL GROUP PLLC

Laboratory Demographics

  • CLIA Code: 45D2329921
  • Facility Name: UC MEDICAL GROUP PLLC
  • Facility Address: 9613 COIT ROAD STE 104
    PLANO, TX
    ZIP 75024
  • Facility Phone: 903 225-9827
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROHAN DATTA
  • NPI Number: 1194515536
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2329921
LAB Type Pharmacy
Facility Name UC MEDICAL GROUP PLLC
Street 9613 COIT ROAD STE 104
City PLANO
State TX
ZIP 75024
Phone 903 225-9827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Pharmacy
Lab Director ROHAN DATTA

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