45D2124704 CLIA NUMBER - FIRST COLONY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2124704
  • Facility Name: FIRST COLONY SURGERY CENTER
  • Facility Address: 600 FERRIS AVE SUITE B
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: (972) 636-5727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMR ZIDAN
  • NPI Number: 1588116743
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2124704
LAB Type Physician Office
Facility Name FIRST COLONY SURGERY CENTER
Street 600 FERRIS AVE SUITE B
City WAXAHACHIE
State TX
ZIP 75165
Phone 9726365727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director AMR ZIDAN

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This page was last updated on: 5/18/2026