45D2143956 CLIA NUMBER - TEXAS PHYSICIAN ASSOCIATES, PLLC DBA DALLAS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D2143956
  • Facility Name: TEXAS PHYSICIAN ASSOCIATES, PLLC DBA DALLAS PRIMARY CARE
  • Facility Address: 1151 N BUCKNER BLVD SUITE 403
    DALLAS, TX
    ZIP 75218
  • Facility Phone: 469 200-4623
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHRAM N. SANI
  • NPI Number: 1922468933
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2143956
LAB Type Physician Office
Facility Name TEXAS PHYSICIAN ASSOCIATES, PLLC DBA DALLAS PRIMARY CARE
Street 1151 N BUCKNER BLVD SUITE 403
City DALLAS
State TX
ZIP 75218
Phone 469 200-4623
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Physician Office
Lab Director SHAHRAM N. SANI

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