CLIA lab

CLIA 45D2199074: 2105 Luna Road

Carrollton, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D2199074 belongs to 2105 Luna Road in Carrollton, TX.

Certificate of Waiver, effective November 5, 2024, expires November 4, 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
November 5, 2024
Certificate expiration
November 4, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 5, 2020
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
45D2199074
Lab name
2105 Luna Road
Address
2105 Luna Rd Suite 320, Carrollton, TX 75006
Phone
(469) 697-5891

Annual test volume the lab reported

Waived tests
50

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 2105 Luna Road in Carrollton?

45D2199074, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 2105 Luna Road hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2199074 expire?

The CMS file lists November 4, 2026 as the certificate expiration date; the certificate took effect November 5, 2024.

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