CLIA lab
CLIA 45D2199081: 1512 Cripple Creek Court
Desoto, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2199081 belongs to 1512 Cripple Creek Court in Desoto, 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
- 45D2199081
- Lab name
- 1512 Cripple Creek Court
- Address
- 1512 Cripple Creek Ct, Desoto, TX 75115
- Phone
- (972) 228-5830
Annual test volume the lab reported
- Waived tests
- 365
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 1512 Cripple Creek Court in Desoto?
45D2199081, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 1512 Cripple Creek Court hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2199081 expire?
The CMS file lists November 4, 2026 as the certificate expiration date; the certificate took effect November 5, 2024.