45D2074691 CLIA NUMBER - NORTH TEXAS FAMILY MEDICINE OF LAKE KIOWA

Laboratory Demographics

  • CLIA Code: 45D2074691
  • Facility Name: NORTH TEXAS FAMILY MEDICINE OF LAKE KIOWA
  • Facility Address: 6700 FM 902, SUITE 404
    LAKE KIOWA, TX
    ZIP 76240
  • Facility Phone: 940 668-6836
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ROBERT HELSTEN
  • NPI Number: 1992885511
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 45D2074691
LAB Type Physician Office
Facility Name NORTH TEXAS FAMILY MEDICINE OF LAKE KIOWA
Street 6700 FM 902, SUITE 404
City LAKE KIOWA
State TX
ZIP 76240
Phone 940 668-6836
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director ROBERT HELSTEN

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