45D2068977 CLIA NUMBER - MEDHEALTH - MANSFIELD NORTH

Laboratory Demographics

  • CLIA Code: 45D2068977
  • Facility Name: MEDHEALTH - MANSFIELD NORTH
  • Facility Address: 1601 E DEBBIE LANE SUITE 2109
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 817 473-9125
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY GEORGEKUTTY
  • NPI Number: 1720331507
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 45D2068977
LAB Type Physician Office
Facility Name MEDHEALTH - MANSFIELD NORTH
Street 1601 E DEBBIE LANE SUITE 2109
City MANSFIELD
State TX
ZIP 76063
Phone 817 473-9125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director NANCY GEORGEKUTTY

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