CLIA lab
CLIA 45D2057841: In House Physicians On-Site Clinic Mary Kay
Addison, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2057841 belongs to In House Physicians On-Site Clinic Mary Kay in Addison, TX.
Certificate of Waiver, effective April 24, 2025, expires April 23, 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
- April 24, 2025
- Certificate expiration
- April 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 24, 2013
- Facility type
- Other
- 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
- 45D2057841
- Lab name
- In House Physicians On-Site Clinic Mary Kay
- Address
- 16251 N Dallas Parkway, Addison, TX 75001
- Phone
- (630) 634-7305
Annual test volume the lab reported
- Waived tests
- 1,300
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 In House Physicians On-Site Clinic Mary Kay in Addison?
45D2057841, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does In House Physicians On-Site Clinic Mary Kay hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2057841 expire?
The CMS file lists April 23, 2027 as the certificate expiration date; the certificate took effect April 24, 2025.