45D2078358 CLIA NUMBER - NORTH TEXAS MOBILE URGENT CARE, PLLC

Laboratory Demographics

CLIA Number: 45D2078358

Facility Name: NORTH TEXAS MOBILE URGENT CARE, PLLC

Facility Address:
529 W WHEATLAND ROAD
DUNCANVILLE, TX
ZIP 75116
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Facility Phone Number: 972 298-2427

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1417361759

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 45D2078358
LAB Type Mobile Laboratory
Facility Name NORTH TEXAS MOBILE URGENT CARE, PLLC
Street 529 W WHEATLAND ROAD
City DUNCANVILLE
State TX
ZIP 75116
Phone 972 298-2427
CertificateType 4
CertificateEffectiveDate 5/27/2022
CertificateExpirationDate 5/26/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024