45D1094858 CLIA NUMBER - ADVANCED HEART CARE PA

Laboratory Demographics

CLIA Code: 45D1094858
Facility Name: ADVANCED HEART CARE PA
Facility Address: 113 AIRPORT RD, SUITE 301
SULPHUR SPRINGS, TX
ZIP 75482
Facility Phone: 469 326-2636
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: PAUL C. WILKINSON
NPI Number: 1952532335
Taxonomy: 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

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CLIA Record

Field Name	Field Value
CLIA Number	45D1094858
LAB Type	Physician Office
Facility Name	ADVANCED HEART CARE PA
Street	113 AIRPORT RD, SUITE 301
City	SULPHUR SPRINGS
State	TX
ZIP	75482
Phone	469 326-2636
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/28/2025
Certificate Expiration Date	1/27/2027
Facility Type	Physician Office
Lab Director	PAUL C. WILKINSON

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