45D2185634 CLIA NUMBER - MULTIGROUP PHYSICIAN PRACTICE OF TEXAS

Laboratory Demographics

  • CLIA Code: 45D2185634
  • Facility Name: MULTIGROUP PHYSICIAN PRACTICE OF TEXAS
  • Facility Address: 209 N BONNIE BRAE STREET MEDICAL OFFICE BLDG 3, SUITE 305
    DENTON, TX
    ZIP 76201
  • Facility Phone: 720 460-7200
  • Facility Type: Other - INFUSION CENTER
  • Facility Type: Waiver
  • Lab Director: SHANNON FISHER
  • NPI Number: 1174953194
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2185634
LAB Type Other - INFUSION CENTER
Facility Name MULTIGROUP PHYSICIAN PRACTICE OF TEXAS
Street 209 N BONNIE BRAE STREET MEDICAL OFFICE BLDG 3, SUITE 305
City DENTON
State TX
ZIP 76201
Phone 720 460-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Other - INFUSION CENTER
Lab Director SHANNON FISHER

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