45D2175390 CLIA NUMBER - MOHAMMAD AZAD, MD, PA DBA FAIR HEALTH WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 45D2175390
  • Facility Name: MOHAMMAD AZAD, MD, PA DBA FAIR HEALTH WELLNESS CENTER
  • Facility Address: 60 E MCDERMOTT DR
    ALLEN, TX
    ZIP 75002
  • Facility Phone: 469 646-6200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD A. AZAD
  • NPI Number: 1578047114
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2175390
LAB Type Physician Office
Facility Name MOHAMMAD AZAD, MD, PA DBA FAIR HEALTH WELLNESS CENTER
Street 60 E MCDERMOTT DR
City ALLEN
State TX
ZIP 75002
Phone 469 646-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director MOHAMMAD A. AZAD

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