CLIA lab
CLIA 45D2071972: Modern Male T Clinic
Dallas, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2071972 belongs to Modern Male T Clinic in Dallas, TX.
Certificate of Compliance, effective July 16, 2026, expires July 15, 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 Compliance
- Certificate effective
- July 16, 2026
- Certificate expiration
- July 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2014
- 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
- 45D2071972
- Lab name
- Modern Male T Clinic
- Address
- 15340 North Dallas Pkwy Ste 2400, Dallas, TX 75248
- Phone
- (972) 865-6506
- Fax
- (214) 324-9402
Annual test volume the lab reported
- Other nonwaived tests
- 2,000
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 Modern Male T Clinic in Dallas?
45D2071972, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Modern Male T Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 45D2071972 expire?
The CMS file lists July 15, 2028 as the certificate expiration date; the certificate took effect July 16, 2026.