45D1015059 CLIA NUMBER - ADVANCED FAMILY MEDICAL CARE PA

Laboratory Demographics

  • CLIA Code: 45D1015059
  • Facility Name: ADVANCED FAMILY MEDICAL CARE PA
  • Facility Address: 4002 WEST PARK BLVD
    PLANO, TX
    ZIP 75093
  • Facility Phone: 972 985-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHTARAM M. KHAN
  • NPI Number: 1073129276
  • Taxonomy: 363A00000X - Physician Assistant

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Physician Office
Lab Director AHTARAM M. KHAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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