CLIA Code Details

Clinical Laboratory Code : 45D2112515

PRODIGY WELLNESS, PLLC (PHYSICIAN OFFICE)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 45D2112515
Clinical laboratory number
Lab Name PRODIGY WELLNESS, PLLC
Laboratory Name
Lab Type Physician Office
Laboratory Type
Certificate Type N/S (NOT SPECIFIED)
Clinical laboratory certificate type

Contacts

Phone 469-269-1060
Laboratory telephone number
Fax 469-269-1064
Fax number of the provider.

Facility Location

Street Address 4040 LEGACY DRIVE, SUITE 204
Primary location adress line
City FRISCO
Primary location city name
State TX
Primary location state name
Zip 75034
Primary location postal code

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