CLINICAL DIAGNOSTICS LABORATORY LLC
NPI 1912895491
Clinical Medical Laboratory in Lewisville, TX

Active since June 25, 2025CLIA 45D2324675 · Waiver
570 S EDMONDS LN STE 108A, LEWISVILLE, TX 75067(319) 594-4108 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinical Diagnostics Laboratory Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICAL DIAGNOSTICS LABORATORY LLC (NPI 1912895491) is a healthcare organization registered as a clinical medical laboratory in Lewisville, Texas and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Anup Tilak, Owner, as its authorized official.

NPPES Registry Identity

NPI1912895491
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCLINICAL DIAGNOSTICS LABORATORY LLC
Location Address570 S EDMONDS LN STE 108ALewisville, TX 75067-3542
Mailing Address570 S Edmonds Ln Ste 108aLewisville, TX 75067-3542 · (319) 594-4108
Organization SubpartNo
Authorized OfficialAnup TilakOwner · (319) 594-4108
Enumeration DateJune 25, 2025
NPPES CertifiedJune 25, 2025
NPI 1912895491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
570 S EDMONDS LN STE 108A, Lewisville, TX 75067

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2324675

Clinical Diagnostics Laboratory LLC · Lewisville, TX
Active · expires Apr 14, 2028
CLIA Number45D2324675
Laboratory TypeIndependent
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorAnup Tilak
Laboratory Phone(319) 594-4108
Laboratory LocationClinical Diagnostics Laboratory LLC570 Edmonds Lane, Suite 108A, Lewisville, TX 75067
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinical Diagnostics Laboratory LLC's NPI number?

The NPI number for Clinical Diagnostics Laboratory LLC is 1912895491. It was assigned to this organization in the NPPES registry on June 25, 2025.

Where is Clinical Diagnostics Laboratory LLC located?

Clinical Diagnostics Laboratory LLC is located at 570 S Edmonds Ln Ste 108A, Lewisville, TX 75067. The listed phone number is (319) 594-4108.

What is Clinical Diagnostics Laboratory LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Clinical Diagnostics Laboratory LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2324675) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinical Diagnostics Laboratory LLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.