45D2051192 CLIA NUMBER - CUBIC CARE FAMILY MEDICINE CUBIC CARE INCORPORATED

Laboratory Demographics

  • CLIA Code: 45D2051192
  • Facility Name: CUBIC CARE FAMILY MEDICINE CUBIC CARE INCORPORATED
  • Facility Address: 905 N JUPITER ROAD, SUITE 160
    RICHARDSON, TX
    ZIP 75081
  • Facility Phone: 972 479-9960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THIEN AN NGUYEN
  • NPI Number: 1003171927
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2051192
LAB Type Physician Office
Facility Name CUBIC CARE FAMILY MEDICINE CUBIC CARE INCORPORATED
Street 905 N JUPITER ROAD, SUITE 160
City RICHARDSON
State TX
ZIP 75081
Phone 972 479-9960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director THIEN AN NGUYEN

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