CLIA lab
CLIA 45D2171260: Lake Dallas Family Medicine, PLLC
Lake Dallas, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2171260 belongs to Lake Dallas Family Medicine, PLLC in Lake Dallas, TX.
Certificate of Waiver, effective August 28, 2025, expires August 27, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 28, 2025
- Certificate expiration
- August 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 28, 2019
- Facility type
- Other practitioner
- 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
- 45D2171260
- Lab name
- Lake Dallas Family Medicine, PLLC
- Address
- 503 Main St Suite C, Lake Dallas, TX 75065
- Phone
- (940) 535-5296
- Fax
- (940) 535-5297
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 Lake Dallas, TX
Related
Questions
What is the CLIA number for Lake Dallas Family Medicine, PLLC in Lake Dallas?
45D2171260, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Dallas Family Medicine, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2171260 expire?
The CMS file lists August 27, 2027 as the certificate expiration date; the certificate took effect August 28, 2025.