45D1069669 CLIA NUMBER - PREMIER CARE

Laboratory Demographics

  • CLIA Code: 45D1069669
  • Facility Name: PREMIER CARE
  • Facility Address: 236 PARK PLACE
    AZLE, TX
    ZIP 76020
  • Facility Phone: 817 270-3000
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MICHAEL K. MCFARLAND
  • NPI Number: 1871704429
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1069669
LAB Type Community Clinic
Facility Name PREMIER CARE
Street 236 PARK PLACE
City AZLE
State TX
ZIP 76020
Phone 817 270-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Community Clinic
Lab Director MICHAEL K. MCFARLAND

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