CLIA lab
CLIA 45D2019607: Polk Street Annex
Dallas, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2019607 belongs to Polk Street Annex in Dallas, TX.
Certificate of Accreditation, effective February 3, 2011, expires May 22, 2032.
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 Accreditation
- Certificate effective
- February 3, 2011
- Certificate expiration
- May 22, 2032
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 2011
- Facility type
- Community clinic
- Ownership (control type)
- Government, federal
- Lab classification
- CLIA VA laboratory
- Accrediting organizations
- The Joint Commission
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D2019607
- Lab name
- Polk Street Annex
- Address
- 4243 S Polk Street, Dallas, TX 75224
- Phone
- (214) 857-0684
- Fax
- (214) 857-0739
Annual test volume the lab reported
- Waived tests
- 200
- Tests under accreditation
- 200
- Total
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Dallas, TX
- 24 Hour Quality Home Healthcare, LLCCertificate of Waiver, Home health agency45D2022654
- 3roots Solutions, LLCCertificate of Waiver, Other45D2341263
- 4224 Swiss Ob-Gyn ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office45D0479015
- 7153 Pineberry RoadCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities45D2198318
- 8643 Darrington DriveCertificate of Waiver, Other45D2199110
- 9201 Park Plastic Surgery, PLLCCertificate of Waiver, Ambulatory surgery center45D2322138
- A Elevation Pediatrics DPC, PLLCCertificate of Waiver, Other45D2198437
- A Newday Homehealth, IncCertificate of Waiver, Home health agency45D2045325
- A-Medical Advantage Healthcare SystemCertificate of Waiver, Ancillary test site45D1091988
- Aaa Home Healthcare, IncCertificate of Waiver, Home health agency45D1096610
Related
Questions
What is the CLIA number for Polk Street Annex in Dallas?
45D2019607, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Polk Street Annex hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 45D2019607 expire?
The CMS file lists May 22, 2032 as the certificate expiration date; the certificate took effect February 3, 2011.