45D0685364 CLIA NUMBER - IJEOMA NNAMANI, MD PA

Laboratory Demographics

  • CLIA Code: 45D0685364
  • Facility Name: IJEOMA NNAMANI, MD PA
  • Facility Address: 350 WESTPARK WAY STE123
    EULESS, TX
    ZIP 76040
  • Facility Phone: 817 267-3065
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IJEOMA NNAMANI
  • NPI Number: 1487943239
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0685364
LAB Type Physician Office
Facility Name IJEOMA NNAMANI, MD PA
Street 350 WESTPARK WAY STE123
City EULESS
State TX
ZIP 76040
Phone 817 267-3065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director IJEOMA NNAMANI

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