45D2100916 CLIA NUMBER - MACARTHUR URGENT & FAMILY CARE

Laboratory Demographics

  • CLIA Code: 45D2100916
  • Facility Name: MACARTHUR URGENT & FAMILY CARE
  • Facility Address: 8787 N MACARTHUR BLVD, SUITE 120-B
    IRVING, TX
    ZIP 75063
  • Facility Phone: 864 884-5166
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAYAPRADA POTLA
  • NPI Number: 1033553805
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2100916
LAB Type Physician Office
Facility Name MACARTHUR URGENT & FAMILY CARE
Street 8787 N MACARTHUR BLVD, SUITE 120-B
City IRVING
State TX
ZIP 75063
Phone 864 884-5166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director JAYAPRADA POTLA

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