45D0970695 CLIA NUMBER - LOZANO MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0970695
  • Facility Name: LOZANO MEDICAL CLINIC
  • Facility Address: 10425 GARLAND RD
    DALLAS, TX
    ZIP 75218
  • Facility Phone: 214 660-1616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVETTE C. LOZANO
  • NPI Number: 1639351828
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 45D0970695
LAB Type Physician Office
Facility Name LOZANO MEDICAL CLINIC
Street 10425 GARLAND RD
City DALLAS
State TX
ZIP 75218
Phone 214 660-1616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2023
Certificate Expiration Date 8/22/2025
Facility Type Physician Office
Lab Director IVETTE C. LOZANO

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This page was last updated on: 3/20/2025