45D1066350 CLIA NUMBER - TEXAS HEALTH FAMILY CARE

Laboratory Demographics

  • CLIA Code: 45D1066350
  • Facility Name: TEXAS HEALTH FAMILY CARE
  • Facility Address: 100 BOURLAND ROAD SUITE 100
    KELLER, TX
    ZIP 76248
  • Facility Phone: 972 462-0762
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODDY D. GREEN
  • NPI Number: 1922344167
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D1066350
LAB Type Physician Office
Facility Name TEXAS HEALTH FAMILY CARE
Street 100 BOURLAND ROAD SUITE 100
City KELLER
State TX
ZIP 76248
Phone 972 462-0762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2023
Certificate Expiration Date 3/21/2025
Facility Type Physician Office
Lab Director RODDY D. GREEN

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This page was last updated on: 3/20/2025