45D0888958 CLIA NUMBER - ALEDO FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 45D0888958
  • Facility Name: ALEDO FAMILY MEDICINE
  • Facility Address: 317 FM1187 NORTH
    ALEDO, TX
    ZIP 76008
  • Facility Phone: 817 441-7181
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAUN H. KRETZSCHMAR
  • NPI Number: 1912379322
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0888958
LAB Type Physician Office
Facility Name ALEDO FAMILY MEDICINE
Street 317 FM1187 NORTH
City ALEDO
State TX
ZIP 76008
Phone 817 441-7181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director SHAUN H. KRETZSCHMAR

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