45D2119873 CLIA NUMBER - ATHENA FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2119873
  • Facility Name: ATHENA FAMILY MEDICINE
  • Facility Address: 8301 LAKEVIEW PARKWAY, SUITE 106
    ROWLETT, TX
    ZIP 75088
  • Facility Phone: 854 717-9364
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN VO
  • NPI Number: 1295189249
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2119873
LAB Type Physician Office
Facility Name ATHENA FAMILY MEDICINE
Street 8301 LAKEVIEW PARKWAY, SUITE 106
City ROWLETT
State TX
ZIP 75088
Phone 854 717-9364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director KEVIN VO

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