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45D1015059 CLIA NUMBER - ADVANCED FAMILY MEDICAL CARE PA

Laboratory Demographics

CLIA Number: 45D1015059

Facility Name: ADVANCED FAMILY MEDICAL CARE PA

Facility Address:
4002 WEST PARK BLVD
PLANO, TX
ZIP 75093
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Facility Phone Number: 972 985-8000

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1073129276

Taxonomy: 363A00000X - Physician Assistant
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

CLIA Record

Field Name Field Value
CLIA Number 45D1015059
LAB Type Physician Office
Facility Name ADVANCED FAMILY MEDICAL CARE PA
Street 4002 WEST PARK BLVD
City PLANO
State TX
ZIP 75093
Phone 972 985-8000
CertificateType 4
CertificateEffectiveDate 7/22/2023
CertificateExpirationDate 7/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024