45D2040722 CLIA NUMBER - WACO PRIMARY CARE, PA

Laboratory Demographics

  • CLIA Code: 45D2040722
  • Facility Name: WACO PRIMARY CARE, PA
  • Facility Address: 7100 OLD MCGREGOR ROAD
    WACO, TX
    ZIP 76712
  • Facility Phone: 254 399-6545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KARL M. TRIPPE
  • NPI Number: 1245528249
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2040722
LAB Type Physician Office
Facility Name WACO PRIMARY CARE, PA
Street 7100 OLD MCGREGOR ROAD
City WACO
State TX
ZIP 76712
Phone 254 399-6545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director KARL M. TRIPPE

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