45D2227407 CLIA NUMBER - CAPITAL INFECTIOUS DISEASE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D2227407
  • Facility Name: CAPITAL INFECTIOUS DISEASE ASSOCIATES
  • Facility Address: 2011 FM 102 RD
    WHARTON, TX
    ZIP 77488
  • Facility Phone: 979 282-6151
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARFRAZ ALY
  • NPI Number: 1467750752
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2227407
LAB Type Physician Office
Facility Name CAPITAL INFECTIOUS DISEASE ASSOCIATES
Street 2011 FM 102 RD
City WHARTON
State TX
ZIP 77488
Phone 979 282-6151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2023
Certificate Expiration Date 6/10/2025
Facility Type Physician Office
Lab Director SARFRAZ ALY

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This page was last updated on: 3/20/2025