45D2027521 CLIA NUMBER - FARDIN DJAFARI MD, PLLC

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Laboratory Demographics

CLIA Number: 45D2027521

Facility Name: FARDIN DJAFARI MD, PLLC

Facility Address:
1631 11TH STREET STE B
WICHITA FALLS, TX
ZIP 76301
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Facility Phone Number: 940 687-4700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043298391

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	45D2027521
LAB Type	Physician Office
Facility Name	FARDIN DJAFARI MD, PLLC
Street	1631 11TH STREET STE B
City	WICHITA FALLS
State	TX
ZIP	76301
Phone	940 687-4700
CertificateType	4
CertificateEffectiveDate	7/26/2023
CertificateExpirationDate	7/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024