45D0864651 CLIA NUMBER - THOMAS J PURGASON MD

Laboratory Demographics

  • CLIA Code: 45D0864651
  • Facility Name: THOMAS J PURGASON MD
  • Facility Address: 3600 MATLOCK ROAD SUITE 100
    ARLINGTON, TX
    ZIP 76015
  • Facility Phone: 817 465-8855
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS J. PURGASON MD
  • NPI Number: 1003819798
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0864651
LAB Type Physician Office
Facility Name THOMAS J PURGASON MD
Street 3600 MATLOCK ROAD SUITE 100
City ARLINGTON
State TX
ZIP 76015
Phone 817 465-8855
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 THOMAS J. PURGASON MD

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