45D2148748 CLIA NUMBER - CHMG - PRIMARY CARE ROCKWALL

Laboratory Demographics

  • CLIA Code: 45D2148748
  • Facility Name: CHMG - PRIMARY CARE ROCKWALL
  • Facility Address: 6435 S FM 549, SUITE 201
    HEATH, TX
    ZIP 75032
  • Facility Phone: 214 771-3712
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY SONNEN
  • NPI Number: 1790292118
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2148748
LAB Type Physician Office
Facility Name CHMG - PRIMARY CARE ROCKWALL
Street 6435 S FM 549, SUITE 201
City HEATH
State TX
ZIP 75032
Phone 214 771-3712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director GREGORY SONNEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025