45D2071024 CLIA NUMBER - PRECINCT AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2071024
  • Facility Name: PRECINCT AMBULATORY SURGERY CENTER
  • Facility Address: 1717 PRECINCT LINE ROAD, SUITE #101
    HURST, TX
    ZIP 76054
  • Facility Phone: 817 369-3995
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LOUIS NIEVES
  • NPI Number: 1609206614
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2071024
LAB Type Ambulatory Surgery Center
Facility Name PRECINCT AMBULATORY SURGERY CENTER
Street 1717 PRECINCT LINE ROAD, SUITE #101
City HURST
State TX
ZIP 76054
Phone 817 369-3995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Ambulatory Surgery Center
Lab Director LOUIS NIEVES

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