45D2007621 CLIA NUMBER - FAMICARE CLINIC, PA

Laboratory Demographics

  • CLIA Code: 45D2007621
  • Facility Name: FAMICARE CLINIC, PA
  • Facility Address: 3465 W WALNUT ST # 225
    GARLAND, TX
    ZIP 75042
  • Facility Phone: 972 272-7816
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NGUYEN Q. HUY
  • NPI Number: 1164744660
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2007621
LAB Type Physician Office
Facility Name FAMICARE CLINIC, PA
Street 3465 W WALNUT ST # 225
City GARLAND
State TX
ZIP 75042
Phone 972 272-7816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director NGUYEN Q. HUY

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