45D1036589 CLIA NUMBER - AHMAD B AHMAD, MD

Laboratory Demographics

  • CLIA Code: 45D1036589
  • Facility Name: AHMAD B AHMAD, MD
  • Facility Address: 929 N GALLOWAY, #121
    MESQUITE, TX
    ZIP 75149
  • Facility Phone: 972 161-1063
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMAD B. AHMAD
  • NPI Number: 1609956515
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1036589
LAB Type Physician Office
Facility Name AHMAD B AHMAD, MD
Street 929 N GALLOWAY, #121
City MESQUITE
State TX
ZIP 75149
Phone 972 161-1063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director AHMAD B. AHMAD

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