45D1102888 CLIA NUMBER - ARLINGTON PHYSICIANS, PA MARK A WAYNE, MD

Laboratory Demographics

  • CLIA Code: 45D1102888
  • Facility Name: ARLINGTON PHYSICIANS, PA MARK A WAYNE, MD
  • Facility Address: 712 HUNTERS ROW
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 817 274-1999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. WAYNE,MD
  • NPI Number: 1588735922
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 45D1102888
LAB Type Physician Office
Facility Name ARLINGTON PHYSICIANS, PA MARK A WAYNE, MD
Street 712 HUNTERS ROW
City MANSFIELD
State TX
ZIP 76063
Phone 817 274-1999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director MARK A. WAYNE,MD

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