45D2020833 CLIA NUMBER - QUESTCARE MEDICAL CLINICS, PLLC DBA QUESTCARE MEDICAL CLINIC AT KELLER

Laboratory Demographics

  • CLIA Code: 45D2020833
  • Facility Name: QUESTCARE MEDICAL CLINICS, PLLC DBA QUESTCARE MEDICAL CLINIC AT KELLER
  • Facility Address: 8861 DAVIS BLVD, SUITE 100
    KELLER, TX
    ZIP 76248
  • Facility Phone: 817 431-5073
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWIN DEL ROSARIO
  • NPI Number: 1255763280
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2020833
LAB Type Physician Office
Facility Name QUESTCARE MEDICAL CLINICS, PLLC DBA QUESTCARE MEDICAL CLINIC AT KELLER
Street 8861 DAVIS BLVD, SUITE 100
City KELLER
State TX
ZIP 76248
Phone 817 431-5073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director EDWIN DEL ROSARIO

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This page was last updated on: 6/4/2025