45D2177609 CLIA NUMBER - NICOLE A MUELLER, PA

Laboratory Demographics

  • CLIA Code: 45D2177609
  • Facility Name: NICOLE A MUELLER, PA
  • Facility Address: 1201 MEDICAL PLAZA COURT
    GRANBURY, TX
    ZIP 76048
  • Facility Phone: 817 279-9044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLE A. MUELLER
  • NPI Number: 1992703789
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 45D2177609
LAB Type Physician Office
Facility Name NICOLE A MUELLER, PA
Street 1201 MEDICAL PLAZA COURT
City GRANBURY
State TX
ZIP 76048
Phone 817 279-9044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director NICOLE A. MUELLER

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