CLIA lab
CLIA 45D2122841: Ccpn Trophy Club
Trophy Club, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2122841 belongs to Ccpn Trophy Club in Trophy Club, TX.
Certificate of Waiver, effective December 7, 2024, expires December 6, 2026.
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 7, 2024
- Certificate expiration
- December 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 7, 2016
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 45D2122841
- Lab name
- Ccpn Trophy Club
- Address
- 2300 SH-114 Suite 300, Trophy Club, TX 76262
- Phone
- (817) 347-8100
- Fax
- (817) 347-8099
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Trophy Club, TX
- BSW Primary Care Trophy ClubCertificate of Waiver, Physician office45D2116102
- Baylor Scott & White Medical Center - Trophy ClubCertificate of Accreditation, Hospital45D1024972
- Crescent Direct Primary CareCertificate of Waiver, Physician office45D2326170
- Methodist Medical Group Trophy ClubCertificate of Waiver, Physician office45D2347206
- Pediatric Concierge of North TexasCertificate of Waiver, Mobile lab45D2317243
- Tom Thumb Pharmacy #1789Certificate of Waiver, Pharmacy45D2249462
- Trophy Club EMSCertificate of Waiver, Ambulance45D1027851
- Trophy Club Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office45D1006905
- True Medicine, PACertificate of Waiver, Mobile lab45D1095598
- Urology Clinics of North TexasCertificate of Waiver, Physician office45D2164366
Related
Questions
What is the CLIA number for Ccpn Trophy Club in Trophy Club?
45D2122841, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ccpn Trophy Club hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2122841 expire?
The CMS file lists December 6, 2026 as the certificate expiration date; the certificate took effect December 7, 2024.