45D2160397 CLIA NUMBER - PR MEDCARE, PLLC DBA NEST FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2160397
  • Facility Name: PR MEDCARE, PLLC DBA NEST FAMILY MEDICINE
  • Facility Address: 4920 MCDERMOTT RD SUITE 200
    PLANO, TX
    ZIP 75024
  • Facility Phone: 972 200-5666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRITI RANJAN
  • NPI Number: 1275018608
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2160397
LAB Type Physician Office
Facility Name PR MEDCARE, PLLC DBA NEST FAMILY MEDICINE
Street 4920 MCDERMOTT RD SUITE 200
City PLANO
State TX
ZIP 75024
Phone 972 200-5666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director PRITI RANJAN

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