45D2130865 CLIA NUMBER - TEXAS PHYSICIANS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D2130865
  • Facility Name: TEXAS PHYSICIANS PRIMARY CARE
  • Facility Address: 9812 LAKEVIEW PARKWAY
    ROWLETT, TX
    ZIP 75088
  • Facility Phone: 972 463-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO G. GONZALEZ
  • NPI Number: 1417403957
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2130865
LAB Type Physician Office
Facility Name TEXAS PHYSICIANS PRIMARY CARE
Street 9812 LAKEVIEW PARKWAY
City ROWLETT
State TX
ZIP 75088
Phone 972 463-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Physician Office
Lab Director MARIO G. GONZALEZ

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