45D0480221 CLIA NUMBER - TEXAS FAMILY HEALTHCARE, PA

Laboratory Demographics

  • CLIA Code: 45D0480221
  • Facility Name: TEXAS FAMILY HEALTHCARE, PA
  • Facility Address: 7777 FOREST LANE SUITE A222
    DALLAS, TX
    ZIP 75230
  • Facility Phone: 972 566-7970
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE B. HENRY
  • NPI Number: 1659428407
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0480221
LAB Type Physician Office
Facility Name TEXAS FAMILY HEALTHCARE, PA
Street 7777 FOREST LANE SUITE A222
City DALLAS
State TX
ZIP 75230
Phone 972 566-7970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director BRUCE B. HENRY

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This page was last updated on: 9/29/2025