45D0942156 CLIA NUMBER - PRABHA MOHAN MD

Laboratory Demographics

  • CLIA Code: 45D0942156
  • Facility Name: PRABHA MOHAN MD
  • Facility Address: 709 HIGHWAY 243 SUITE C
    KAUFMAN, TX
    ZIP 75142
  • Facility Phone: 972 932-2000
  • Facility Type: Blood Bank
  • Facility Type: Waiver
  • Lab Director: PRABHA MOHAN MD
  • NPI Number: 1548362098
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0942156
LAB Type Blood Bank
Facility Name PRABHA MOHAN MD
Street 709 HIGHWAY 243 SUITE C
City KAUFMAN
State TX
ZIP 75142
Phone 972 932-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Blood Bank
Lab Director PRABHA MOHAN MD

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