45D2198458 CLIA NUMBER - BETHESDA FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2198458
  • Facility Name: BETHESDA FAMILY PRACTICE
  • Facility Address: 873 S STEMMON FRWY SUITE 100
    LEWISVILLE, TX
    ZIP 75067
  • Facility Phone: 214 377-0541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEHINDE R. AMOSUN
  • NPI Number: 1003862947
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2198458
LAB Type Physician Office
Facility Name BETHESDA FAMILY PRACTICE
Street 873 S STEMMON FRWY SUITE 100
City LEWISVILLE
State TX
ZIP 75067
Phone 214 377-0541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director KEHINDE R. AMOSUN

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