45D2178228 CLIA NUMBER - PREMIER INDEPENDENT PHYSICIANS LABORATORIES

Laboratory Demographics

  • CLIA Code: 45D2178228
  • Facility Name: PREMIER INDEPENDENT PHYSICIANS LABORATORIES
  • Facility Address: 309 WESTPARK WAY SUITE 309
    EULESS, TX
    ZIP 76040
  • Facility Phone: 817 896-6344
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: RICKY NGUYEN
  • NPI Number: 1437676640
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2178228
LAB Type Physician Office
Facility Name PREMIER INDEPENDENT PHYSICIANS LABORATORIES
Street 309 WESTPARK WAY SUITE 309
City EULESS
State TX
ZIP 76040
Phone 817 896-6344
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director RICKY NGUYEN

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