45D2171281 CLIA NUMBER - DENTRUST DENTAL TEXAS P.C .

Laboratory Demographics

  • CLIA Code: 45D2171281
  • Facility Name: DENTRUST DENTAL TEXAS P.C .
  • Facility Address: 150 WEST AMITY ROAD
    BELTON, TX
    ZIP 76513
  • Facility Phone: 267 927-5000
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. ZAID FADUL
  • NPI Number: 1376631101
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2171281
LAB Type Mobile Laboratory
Facility Name DENTRUST DENTAL TEXAS P.C .
Street 150 WEST AMITY ROAD
City BELTON
State TX
ZIP 76513
Phone 267 927-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Mobile Laboratory
Lab Director DR. ZAID FADUL

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