45D1095603 CLIA NUMBER - SUSAN GEORGE MD, PA AGAPE FAMILY MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 45D1095603
  • Facility Name: SUSAN GEORGE MD, PA AGAPE FAMILY MEDICINE CLINIC
  • Facility Address: 2001 MORRIS ROAD, SUITE 150
    FLOWER MOUND, TX
    ZIP 75028
  • Facility Phone: 972 874-9600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN GEORGE,MD
  • NPI Number: 1285822346
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1095603
LAB Type Physician Office
Facility Name SUSAN GEORGE MD, PA AGAPE FAMILY MEDICINE CLINIC
Street 2001 MORRIS ROAD, SUITE 150
City FLOWER MOUND
State TX
ZIP 75028
Phone 972 874-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director SUSAN GEORGE,MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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