45D1071502 CLIA NUMBER - CARE UNITED MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D1071502
  • Facility Name: CARE UNITED MEDICAL CENTER
  • Facility Address: 375 N FM 548 SUITE 100
    FORNEY, TX
    ZIP 75126
  • Facility Phone: 972 564-0044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHILPI MITTAL
  • NPI Number: 1215174545
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1071502
LAB Type Physician Office
Facility Name CARE UNITED MEDICAL CENTER
Street 375 N FM 548 SUITE 100
City FORNEY
State TX
ZIP 75126
Phone 972 564-0044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director SHILPI MITTAL

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This page was last updated on: 6/4/2025