45D0989913 CLIA NUMBER - HOOD MEDICAL GROUP DBA LAKESIDE PHYSICIAN

Laboratory Demographics

  • CLIA Code: 45D0989913
  • Facility Name: HOOD MEDICAL GROUP DBA LAKESIDE PHYSICIAN
  • Facility Address: 1308 E PALUXY RD SUITE 301 & 303
    GRANBURY, TX
    ZIP 76048
  • Facility Phone: 817 579-0084
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DELIA I. WRIGHT
  • NPI Number: 1568490423
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0989913
LAB Type Physician Office
Facility Name HOOD MEDICAL GROUP DBA LAKESIDE PHYSICIAN
Street 1308 E PALUXY RD SUITE 301 & 303
City GRANBURY
State TX
ZIP 76048
Phone 817 579-0084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Physician Office
Lab Director DELIA I. WRIGHT

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