45D1043717 CLIA NUMBER - STRATEGIC MANAGEMENT TX LLC

Laboratory Demographics

  • CLIA Code: 45D1043717
  • Facility Name: STRATEGIC MANAGEMENT TX LLC
  • Facility Address: 4045 EAST BELKNAP ST SUITE 11-12
    HALTOM CITY, TX
    ZIP 76111
  • Facility Phone: 817 759-2315
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAI VU-QUYNH HOANG
  • NPI Number: 1205292638
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1043717
LAB Type Physician Office
Facility Name STRATEGIC MANAGEMENT TX LLC
Street 4045 EAST BELKNAP ST SUITE 11-12
City HALTOM CITY
State TX
ZIP 76111
Phone 817 759-2315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director MAI VU-QUYNH HOANG

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