45D1010690 CLIA NUMBER - SHERRY R NUSSBAUM, MD

Laboratory Demographics

  • CLIA Code: 45D1010690
  • Facility Name: SHERRY R NUSSBAUM, MD
  • Facility Address: 1008 N BOWEN ROAD
    ARLINGTON, TX
    ZIP 76012
  • Facility Phone: 817 861-2288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHERRY R. NUSSBAUM
  • NPI Number: 1023013232
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1010690
LAB Type Physician Office
Facility Name SHERRY R NUSSBAUM, MD
Street 1008 N BOWEN ROAD
City ARLINGTON
State TX
ZIP 76012
Phone 817 861-2288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director SHERRY R. NUSSBAUM

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