45D2167576 CLIA NUMBER - PRIMECARE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2167576
  • Facility Name: PRIMECARE FAMILY PRACTICE
  • Facility Address: 1001 N WALDROP DR SUITE 801
    ARLINGTON, TX
    ZIP 76012
  • Facility Phone: 817 962-0056
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EBERECHI ANOZIE
  • NPI Number: 1013475979
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2167576
LAB Type Physician Office
Facility Name PRIMECARE FAMILY PRACTICE
Street 1001 N WALDROP DR SUITE 801
City ARLINGTON
State TX
ZIP 76012
Phone 817 962-0056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director EBERECHI ANOZIE

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