45D2174669 CLIA NUMBER - LEGACY PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2174669
  • Facility Name: LEGACY PRIMARY CARE, PLLC
  • Facility Address: 2901 OVERLAND TRL SUITE 100
    SHERMAN, TX
    ZIP 75092
  • Facility Phone: 903 957-9010
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREA B. HUGHES
  • NPI Number: 1255907473
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2174669
LAB Type Physician Office
Facility Name LEGACY PRIMARY CARE, PLLC
Street 2901 OVERLAND TRL SUITE 100
City SHERMAN
State TX
ZIP 75092
Phone 903 957-9010
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director ANDREA B. HUGHES

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