45D0954275 CLIA NUMBER - PRI MED CARE +

Laboratory Demographics

  • CLIA Code: 45D0954275
  • Facility Name: PRI MED CARE +
  • Facility Address: 502 NORTH VALLEY PARKWAY SUITE 1
    LEWISVILLE, TX
    ZIP 75067
  • Facility Phone: 972 353-8616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JALIL A. KHAN
  • NPI Number: 1255424859
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0954275
LAB Type Physician Office
Facility Name PRI MED CARE +
Street 502 NORTH VALLEY PARKWAY SUITE 1
City LEWISVILLE
State TX
ZIP 75067
Phone 972 353-8616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director JALIL A. KHAN

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