45D0877034 CLIA NUMBER - HEALTH TEXAS PROVIDER NETWORK LABORATORY

Laboratory Demographics

CLIA Number: 45D0877034

Facility Name: HEALTH TEXAS PROVIDER NETWORK LABORATORY

Facility Address:
3417 GASTON AVENUE, SUITE 630
DALLAS, TX
ZIP 75246
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Facility Phone Number: 469 800-8900

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1962153940

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0877034
LAB Type	Physician Office
Facility Name	HEALTH TEXAS PROVIDER NETWORK LABORATORY
Street	3417 GASTON AVENUE, SUITE 630
City	DALLAS
State	TX
ZIP	75246
Phone	469 800-8900
CertificateType	1
CertificateEffectiveDate	6/13/2022
CertificateExpirationDate	6/12/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024