45D2137147 CLIA NUMBER - LOPEZ SEPULVEDA PRIMARY CARE DBA CLINICA TU SALUD

Laboratory Demographics

  • CLIA Code: 45D2137147
  • Facility Name: LOPEZ SEPULVEDA PRIMARY CARE DBA CLINICA TU SALUD
  • Facility Address: 245 EAST GRAUWYLER RD, STE 122
    IRVING, TX
    ZIP 75061
  • Facility Phone: 972 887-3235
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAXEL LOPEZ-SEPULVEDA
  • NPI Number: 1447795729
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2137147
LAB Type Physician Office
Facility Name LOPEZ SEPULVEDA PRIMARY CARE DBA CLINICA TU SALUD
Street 245 EAST GRAUWYLER RD, STE 122
City IRVING
State TX
ZIP 75061
Phone 972 887-3235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director JAXEL LOPEZ-SEPULVEDA

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