45D2179723 CLIA NUMBER - MUSTANG HEALTHCARE, PLLC DBA CAREONE MEDICAL CLINIC LABORATORY

Laboratory Demographics

  • CLIA Code: 45D2179723
  • Facility Name: MUSTANG HEALTHCARE, PLLC DBA CAREONE MEDICAL CLINIC LABORATORY
  • Facility Address: 360 STONEBROOK PARKWAY SUITE 112
    FRISCO, TX
    ZIP 75036
  • Facility Phone: 972 787-2710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEEBA MATHAI
  • NPI Number: 1245892017
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2179723
LAB Type Physician Office
Facility Name MUSTANG HEALTHCARE, PLLC DBA CAREONE MEDICAL CLINIC LABORATORY
Street 360 STONEBROOK PARKWAY SUITE 112
City FRISCO
State TX
ZIP 75036
Phone 972 787-2710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director SHEEBA MATHAI

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This page was last updated on: 3/20/2025