45D0867592 CLIA NUMBER - BROOKS P TROTTER MD PA

Laboratory Demographics

  • CLIA Code: 45D0867592
  • Facility Name: BROOKS P TROTTER MD PA
  • Facility Address: 1604 LANCASTER DRIVE
    GRAPEVINE, TX
    ZIP 76051
  • Facility Phone: 817 481-8661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BROOKS P. TROTTER MD
  • NPI Number: 1891871679
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0867592
LAB Type Physician Office
Facility Name BROOKS P TROTTER MD PA
Street 1604 LANCASTER DRIVE
City GRAPEVINE
State TX
ZIP 76051
Phone 817 481-8661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Physician Office
Lab Director BROOKS P. TROTTER MD

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