45D1002206 CLIA NUMBER - SPRINGTOWN FAMILY HELTH CENTER

Laboratory Demographics

  • CLIA Code: 45D1002206
  • Facility Name: SPRINGTOWN FAMILY HELTH CENTER
  • Facility Address: 308 W HIGHWAY 199
    SPRINGTOWN, TX
    ZIP 76082
  • Facility Phone: 817 523-5402
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WENDELL G. MCDANIEL
  • NPI Number: 1255984332
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1002206
LAB Type Physician Office
Facility Name SPRINGTOWN FAMILY HELTH CENTER
Street 308 W HIGHWAY 199
City SPRINGTOWN
State TX
ZIP 76082
Phone 817 523-5402
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director WENDELL G. MCDANIEL

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