45D0484289 CLIA NUMBER - ARLINGTON MINOR EMERGENCY CLINIC

Laboratory Demographics

  • CLIA Code: 45D0484289
  • Facility Name: ARLINGTON MINOR EMERGENCY CLINIC
  • Facility Address: 912 EAST PARK ROW
    ARLINGTON, TX
    ZIP 76010
  • Facility Phone: 817 277-2977
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: ROGER M. PHAM
  • NPI Number: 1760636161
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 45D0484289
LAB Type Other
Facility Name ARLINGTON MINOR EMERGENCY CLINIC
Street 912 EAST PARK ROW
City ARLINGTON
State TX
ZIP 76010
Phone 817 277-2977
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Other
Lab Director ROGER M. PHAM

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