CLIA lab
CLIA 45D2319613: DFW Oral and Maxillofacial Surgery, Ennis
Ennis, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2319613 belongs to DFW Oral and Maxillofacial Surgery, Ennis in Ennis, TX.
Certificate of Waiver, effective March 4, 2025, expires March 3, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 4, 2025
- Certificate expiration
- March 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2025
- 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
- 45D2319613
- Lab name
- DFW Oral and Maxillofacial Surgery, Ennis
- Address
- 2200 W Ennis Ave Ste B, Ennis, TX 75119
- Phone
- (972) 594-7414
- Fax
- (469) 699-8838
Annual test volume the lab reported
- Waived tests
- 275
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ennis, TX
- Advanced Care Surgery Center PLLCCertificate of Waiver, Ambulatory surgery center45D2299922
- Blair Family Medicine, PACertificate of Waiver, Physician office45D1072509
- Bluebonnet Rehab at EnnisCertificate of Waiver, Skilled nursing or nursing facility45D2112969
- Cook Children's Pediatircs - EnnisCertificate of Waiver, Physician office45D2330249
- D Blayne Laws MD PACertificate of Waiver, Physician office45D1031125
- DR Fredric Puckett PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office45D2024029
- Davey M Perrin, MDCertificate of Waiver, Physician office45D2283464
- Ellis County Coalition for Health OptionsCertificate of Waiver, Federally qualified health center45D2120454
- Ellis County Medical Associates, PACertificate of Waiver, Physician office45D0478401
- Emmanuel E Sackey, MD PACertificate of Waiver, Physician office45D0945655
Related
Questions
What is the CLIA number for DFW Oral and Maxillofacial Surgery, Ennis in Ennis?
45D2319613, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DFW Oral and Maxillofacial Surgery, Ennis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2319613 expire?
The CMS file lists March 3, 2027 as the certificate expiration date; the certificate took effect March 4, 2025.