45D2161734 CLIA NUMBER - SINSOTE MEDICAL CARE DBA LAKEWOOD MEDICAL CENTER

Laboratory Demographics

CLIA Number: 45D2161734

Facility Name: SINSOTE MEDICAL CARE DBA LAKEWOOD MEDICAL CENTER

Facility Address:
6243 RETAIL RD SUITE 500
DALLAS, TX
ZIP 75231
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Facility Phone Number: 214 240-3776

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922654003

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D2161734
LAB Type	Physician Office
Facility Name	SINSOTE MEDICAL CARE DBA LAKEWOOD MEDICAL CENTER
Street	6243 RETAIL RD SUITE 500
City	DALLAS
State	TX
ZIP	75231
Phone	214 240-3776
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024