45D2227413 CLIA NUMBER - CAPITAL ADVANCED WOUND CARE

Laboratory Demographics

  • CLIA Code: 45D2227413
  • Facility Name: CAPITAL ADVANCED WOUND CARE
  • Facility Address: 2011 FM 102 RD
    WHARTON, TX
    ZIP 77488
  • Facility Phone: 979 488-9438
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SALMAN ALY
  • NPI Number: 1801371349
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2227413
LAB Type Physician Office
Facility Name CAPITAL ADVANCED WOUND CARE
Street 2011 FM 102 RD
City WHARTON
State TX
ZIP 77488
Phone 979 488-9438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director SALMAN ALY

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