45D1036180 CLIA NUMBER - SALVEO FAMILY CLINIC LE SALVEO CARE CORP

Laboratory Demographics

  • CLIA Code: 45D1036180
  • Facility Name: SALVEO FAMILY CLINIC LE SALVEO CARE CORP
  • Facility Address: 614 S WATTERS ROAD, BLDG A, SUITE 101
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 214 566-5672
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE N. LE
  • NPI Number: 1609814037
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 45D1036180
LAB Type Physician Office
Facility Name SALVEO FAMILY CLINIC LE SALVEO CARE CORP
Street 614 S WATTERS ROAD, BLDG A, SUITE 101
City ALLEN
State TX
ZIP 75013
Phone 214 566-5672
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director JACQUELINE N. LE

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