45D0949332 CLIA NUMBER - TEXAS PHYSICIANS PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D0949332
  • Facility Name: TEXAS PHYSICIANS PRIMARY CARE, PLLC
  • Facility Address: 502 W KEARNEY ST SUITE 700
    MESQUITE, TX
    ZIP 75149
  • Facility Phone: 972 288-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO G. GONZALEZ
  • NPI Number: 1962800284
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0949332
LAB Type Physician Office
Facility Name TEXAS PHYSICIANS PRIMARY CARE, PLLC
Street 502 W KEARNEY ST SUITE 700
City MESQUITE
State TX
ZIP 75149
Phone 972 288-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director MARIO G. GONZALEZ

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