45D1103809 CLIA NUMBER - MEDICAL ASSOCIATES AT WILLOW PARK

Laboratory Demographics

  • CLIA Code: 45D1103809
  • Facility Name: MEDICAL ASSOCIATES AT WILLOW PARK
  • Facility Address: 260 WILLOW BEND
    ALEDO, TX
    ZIP 76008
  • Facility Phone: 817 441-9252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW STINE
  • NPI Number: 1821460239
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1103809
LAB Type Physician Office
Facility Name MEDICAL ASSOCIATES AT WILLOW PARK
Street 260 WILLOW BEND
City ALEDO
State TX
ZIP 76008
Phone 817 441-9252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director MATTHEW STINE

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