45D2107760 CLIA NUMBER - FIRST KELLER HEALTHCARE

Laboratory Demographics

  • CLIA Code: 45D2107760
  • Facility Name: FIRST KELLER HEALTHCARE
  • Facility Address: 891 E KELLER PARKWAY, SUITE 101
    KELLER, TX
    ZIP 76248
  • Facility Phone: 682 593-1273
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RODOLFO A. HERRERA
  • NPI Number: 1013381250
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2107760
LAB Type Community Clinic
Facility Name FIRST KELLER HEALTHCARE
Street 891 E KELLER PARKWAY, SUITE 101
City KELLER
State TX
ZIP 76248
Phone 682 593-1273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Community Clinic
Lab Director RODOLFO A. HERRERA

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