45D2081597 CLIA NUMBER - ADVANTAGE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D2081597
  • Facility Name: ADVANTAGE MEDICAL CLINIC
  • Facility Address: 1102 SOLON PLACE WAY, STE 2
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 972 351-9993
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RORY L. ALLEN
  • NPI Number: 1174861066
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2081597
LAB Type Physician Office
Facility Name ADVANTAGE MEDICAL CLINIC
Street 1102 SOLON PLACE WAY, STE 2
City WAXAHACHIE
State TX
ZIP 75165
Phone 972 351-9993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director RORY L. ALLEN

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