45D1050151 CLIA NUMBER - QUESTCARE MEDICAL CLINICS, PLLC DBA QUESTCARE MEDICAL CLINIC AT MANSFIELD

Laboratory Demographics

  • CLIA Code: 45D1050151
  • Facility Name: QUESTCARE MEDICAL CLINICS, PLLC DBA QUESTCARE MEDICAL CLINIC AT MANSFIELD
  • Facility Address: 1001 MATLOCK ROAD, #101
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 817 539-0770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDALL WAGMAN
  • NPI Number: 1710329040
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1050151
LAB Type Physician Office
Facility Name QUESTCARE MEDICAL CLINICS, PLLC DBA QUESTCARE MEDICAL CLINIC AT MANSFIELD
Street 1001 MATLOCK ROAD, #101
City MANSFIELD
State TX
ZIP 76063
Phone 817 539-0770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director RANDALL WAGMAN

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