45D1081422 CLIA NUMBER - METHODIST FAMILY HEALTH CENTER LAKE PRAIRIE

Laboratory Demographics

  • CLIA Code: 45D1081422
  • Facility Name: METHODIST FAMILY HEALTH CENTER LAKE PRAIRIE
  • Facility Address: 5224 S STATE HWY 360 SUITE 360
    GRAND PRAIRIE, TX
    ZIP 75052
  • Facility Phone: (972) 522-0691
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY WEAVER

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CLIA Record

Field Name Field Value
CLIA Number 45D1081422
LAB Type Physician Office
Facility Name METHODIST FAMILY HEALTH CENTER LAKE PRAIRIE
Street 5224 S STATE HWY 360 SUITE 360
City GRAND PRAIRIE
State TX
ZIP 75052
Phone 9725220691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director MARY WEAVER

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This page was last updated on: 5/18/2026