45D2028249 CLIA NUMBER - PREMIER CARE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 45D2028249
  • Facility Name: PREMIER CARE PHYSICIANS
  • Facility Address: 2704 N GALLOWAY STE 100
    MESQUITE, TX
    ZIP 75150
  • Facility Phone: 214 320-7650
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADEEL SHIBLI
  • NPI Number: 1346898418
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2028249
LAB Type Physician Office
Facility Name PREMIER CARE PHYSICIANS
Street 2704 N GALLOWAY STE 100
City MESQUITE
State TX
ZIP 75150
Phone 214 320-7650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2023
Certificate Expiration Date 8/10/2025
Facility Type Physician Office
Lab Director ADEEL SHIBLI

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