45D1083962 CLIA NUMBER - FRISCO PRIMARY CARE, PA

Laboratory Demographics

  • CLIA Code: 45D1083962
  • Facility Name: FRISCO PRIMARY CARE, PA
  • Facility Address: 4525 OHIO DRIVE SUITE 100
    FRISCO, TX
    ZIP 75035
  • Facility Phone: 972 731-7717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN BROWN
  • NPI Number: 1861667685
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1083962
LAB Type Physician Office
Facility Name FRISCO PRIMARY CARE, PA
Street 4525 OHIO DRIVE SUITE 100
City FRISCO
State TX
ZIP 75035
Phone 972 731-7717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director KAREN BROWN

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