45D2010262 CLIA NUMBER - 786 MEDICAL DR ANILA KHAN

Laboratory Demographics

  • CLIA Code: 45D2010262
  • Facility Name: 786 MEDICAL DR ANILA KHAN
  • Facility Address: 493 WESTPARK WAY
    EULESS, TX
    ZIP 76040
  • Facility Phone: 817 354-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHSLEY GRISHAM
  • NPI Number: 1841436110
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2010262
LAB Type Physician Office
Facility Name 786 MEDICAL DR ANILA KHAN
Street 493 WESTPARK WAY
City EULESS
State TX
ZIP 76040
Phone 817 354-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director AHSLEY GRISHAM

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