45D2216187 CLIA NUMBER - TEXOMA LIVER CENTER

Laboratory Demographics

  • CLIA Code: 45D2216187
  • Facility Name: TEXOMA LIVER CENTER
  • Facility Address: 4616 S US HWY 75 SUITE 203 ROOM 1
    DENISON, TX
    ZIP 75020
  • Facility Phone: 903 462-6310
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HESHAM M. ELGOUHARI
  • NPI Number: 1174035117
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2216187
LAB Type Physician Office
Facility Name TEXOMA LIVER CENTER
Street 4616 S US HWY 75 SUITE 203 ROOM 1
City DENISON
State TX
ZIP 75020
Phone 903 462-6310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director HESHAM M. ELGOUHARI

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