45D2111567 CLIA NUMBER - METHODIST DIGESTIVE HEALTH SPECIALISTS

Laboratory Demographics

  • CLIA Code: 45D2111567
  • Facility Name: METHODIST DIGESTIVE HEALTH SPECIALISTS
  • Facility Address: 2800 E BROAD STREET SUITE 304
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 817 477-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUHAMMAD MEMON
  • NPI Number: 1700419678
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2111567
LAB Type Physician Office
Facility Name METHODIST DIGESTIVE HEALTH SPECIALISTS
Street 2800 E BROAD STREET SUITE 304
City MANSFIELD
State TX
ZIP 76063
Phone 817 477-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director MUHAMMAD MEMON

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