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45D2197187 CLIA NUMBER - TEXAS MINOR EMERGENCY CLINIC

Laboratory Demographics

CLIA Number: 45D2197187

Facility Name: TEXAS MINOR EMERGENCY CLINIC

Facility Address:
1108 W PIONEER PKWY SUITE 200
ARLINGTON, TX
ZIP 76013
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Facility Phone Number: 682 252-4051

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1588266647

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 45D2197187
LAB Type Practitioner Other
Facility Name TEXAS MINOR EMERGENCY CLINIC
Street 1108 W PIONEER PKWY SUITE 200
City ARLINGTON
State TX
ZIP 76013
Phone 682 252-4051
CertificateType 4
CertificateEffectiveDate 10/22/2022
CertificateExpirationDate 10/21/2024
FacilityType Waiver

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