45D2239043 CLIA NUMBER - FAAC, PA DBA FAMILY ALLERGY & ASTHMA CARE

Laboratory Demographics

  • CLIA Code: 45D2239043
  • Facility Name: FAAC, PA DBA FAMILY ALLERGY & ASTHMA CARE
  • Facility Address: 209 N BONNIE BRAE, MEDICAL OFFICE 3, SUITE 100
    DENTON, TX
    ZIP 76201
  • Facility Phone: 972 539-0086
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY HUDELSON
  • NPI Number: 1730290099
  • Taxonomy: 207KA0200X - Allergy & Immunology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2239043
LAB Type Physician Office
Facility Name FAAC, PA DBA FAMILY ALLERGY & ASTHMA CARE
Street 209 N BONNIE BRAE, MEDICAL OFFICE 3, SUITE 100
City DENTON
State TX
ZIP 76201
Phone 972 539-0086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director MARY HUDELSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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