45D2177042 CLIA NUMBER - THE AGAPE CLINIC

Laboratory Demographics

  • CLIA Code: 45D2177042
  • Facility Name: THE AGAPE CLINIC
  • Facility Address: 4104 JUNIUS ST
    DALLAS, TX
    ZIP 75246
  • Facility Phone: 972 707-7782
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: YOLANDA ESCALANTE
  • NPI Number: 1205511334
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2177042
LAB Type Community Clinic
Facility Name THE AGAPE CLINIC
Street 4104 JUNIUS ST
City DALLAS
State TX
ZIP 75246
Phone 972 707-7782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Community Clinic
Lab Director YOLANDA ESCALANTE

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