CLIA lab

CLIA 45D0480865: Jack D Seidel MD

Farmers Branch, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D0480865 belongs to Jack D Seidel MD in Farmers Branch, TX.

Certificate of Waiver, effective December 14, 2025, expires December 13, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 14, 2025
Certificate expiration
December 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D0480865
Lab name
Jack D Seidel MD
Address
4100 Alpha Rd Suite 650, Farmers Branch, TX 75244
Phone
(214) 243-5437
Fax
(972) 241-1414

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Jack D Seidel MD in Farmers Branch?

45D0480865, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jack D Seidel MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D0480865 expire?

The CMS file lists December 13, 2027 as the certificate expiration date; the certificate took effect December 14, 2025.

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