45D2084014 CLIA NUMBER - GRIEGO FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D2084014
  • Facility Name: GRIEGO FAMILY MEDICAL CENTER
  • Facility Address: 2701 S HAMPTON ROAD SUITE 101
    DALLAS, TX
    ZIP 75224
  • Facility Phone: 214 580-7277
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTOINE ALBERT
  • NPI Number: 1083814966
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2084014
LAB Type Physician Office
Facility Name GRIEGO FAMILY MEDICAL CENTER
Street 2701 S HAMPTON ROAD SUITE 101
City DALLAS
State TX
ZIP 75224
Phone 214 580-7277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director ANTOINE ALBERT

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