CLIA lab
CLIA 45D1090274: Kusi Fordjour,md, PA
Desoto, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1090274 belongs to Kusi Fordjour,md, PA in Desoto, TX.
Certificate of Waiver, effective October 7, 2026, expires October 6, 2028.
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
- October 7, 2026
- Certificate expiration
- October 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 2008
- 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
- 45D1090274
- Lab name
- Kusi Fordjour,md, PA
- Address
- 2505 Bolton Boone Dr Suite 101, Desoto, TX 75115
- Phone
- (214) 673-3934
- Fax
- (817) 490-0374
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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Related
Questions
What is the CLIA number for Kusi Fordjour,md, PA in Desoto?
45D1090274, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kusi Fordjour,md, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D1090274 expire?
The CMS file lists October 6, 2028 as the certificate expiration date; the certificate took effect October 7, 2026.