45D1034550 CLIA NUMBER - RICHARDSON PRIMARYCARE CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 45D1034550
  • Facility Name: RICHARDSON PRIMARYCARE CLINIC, LLC
  • Facility Address: 2821 E GEORGE BUSH HIGHWAY, SUITE 301
    RICHARDSON, TX
    ZIP 75082
  • Facility Phone: 972 437-9210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD AMIR
  • NPI Number: 1245695907
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1034550
LAB Type Physician Office
Facility Name RICHARDSON PRIMARYCARE CLINIC, LLC
Street 2821 E GEORGE BUSH HIGHWAY, SUITE 301
City RICHARDSON
State TX
ZIP 75082
Phone 972 437-9210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Physician Office
Lab Director MOHAMMAD AMIR

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