45D2091638 CLIA NUMBER - NADIA MALIK, MD PA

Laboratory Demographics

  • CLIA Code: 45D2091638
  • Facility Name: NADIA MALIK, MD PA
  • Facility Address: 4100 HERITAGE AVENUE SUITE 102
    GRAPEVINE, TX
    ZIP 76051
  • Facility Phone: 682 999-8446
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NADIA MALIK
  • NPI Number: 1891834172
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2091638
LAB Type Physician Office
Facility Name NADIA MALIK, MD PA
Street 4100 HERITAGE AVENUE SUITE 102
City GRAPEVINE
State TX
ZIP 76051
Phone 682 999-8446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director NADIA MALIK

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