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

Laboratory Demographics

CLIA Number: 45D2179723

Facility Name: MUSTANG HEALTHCARE, PLLC DBA CAREONE MEDICAL CLINIC LABORATORY

Facility Address:
360 STONEBROOK PARKWAY SUITE 112
FRISCO, TX
ZIP 75036
Get Directions

Facility Phone Number: 972 787-2710

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245892017

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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
CertificateType	4
CertificateEffectiveDate	9/7/2022
CertificateExpirationDate	9/6/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024