45D2223803 CLIA NUMBER - HEALTH FIRST CARE CLINIC

Laboratory Demographics

CLIA Number: 45D2223803

Facility Name: HEALTH FIRST CARE CLINIC

Facility Address:
350 WESTPARK WAY SUTIE 203
EULESS, TX
ZIP 76040
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Facility Phone Number: 817 345-6443

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1003409400

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	45D2223803
LAB Type	Practitioner Other
Facility Name	HEALTH FIRST CARE CLINIC
Street	350 WESTPARK WAY SUTIE 203
City	EULESS
State	TX
ZIP	76040
Phone	817 345-6443
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

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