45D1058855 CLIA NUMBER - DOCTOR IS IN ,PA

Laboratory Demographics

  • CLIA Code: 45D1058855
  • Facility Name: DOCTOR IS IN ,PA
  • Facility Address: 4812 ROBERTS
    GREENVILLE, TX
    ZIP 75401
  • Facility Phone: 903 455-1234
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: HASSAN FAROOQ, MD
  • NPI Number: 1093736985
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1058855
LAB Type Other
Facility Name DOCTOR IS IN ,PA
Street 4812 ROBERTS
City GREENVILLE
State TX
ZIP 75401
Phone 903 455-1234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Other
Lab Director HASSAN FAROOQ, MD

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