45D0960515 CLIA NUMBER - TEXAS HEALTH WOMEN'S CARE

Laboratory Demographics

  • CLIA Code: 45D0960515
  • Facility Name: TEXAS HEALTH WOMEN'S CARE
  • Facility Address: 1901 N STATE HWY 360 STE 102
    GRAND PRAIRIE, TX
    ZIP 75050
  • Facility Phone: 817 960-9142
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMY BULGARELLI
  • NPI Number: 1508852310
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D0960515
LAB Type Physician Office
Facility Name TEXAS HEALTH WOMEN'S CARE
Street 1901 N STATE HWY 360 STE 102
City GRAND PRAIRIE
State TX
ZIP 75050
Phone 817 960-9142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director JAMY BULGARELLI

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