45D2030748 CLIA NUMBER - METHODIST FAMILY HEALTH CENTER CHARLTON

Laboratory Demographics

  • CLIA Code: 45D2030748
  • Facility Name: METHODIST FAMILY HEALTH CENTER CHARLTON
  • Facility Address: 7979 W VIRGINIA DRIVE
    DALLAS, TX
    ZIP 75237
  • Facility Phone: 972 780-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADEOLA DARDEN
  • NPI Number: 1780157693
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 45D2030748
LAB Type Physician Office
Facility Name METHODIST FAMILY HEALTH CENTER CHARLTON
Street 7979 W VIRGINIA DRIVE
City DALLAS
State TX
ZIP 75237
Phone 972 780-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Physician Office
Lab Director ADEOLA DARDEN

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