45D2248596 CLIA NUMBER - QUAD CENTRAL, LLC

Laboratory Demographics

  • CLIA Code: 45D2248596
  • Facility Name: QUAD CENTRAL, LLC
  • Facility Address: 3540 E BROAD ST SUITE 120
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 903 445-1265
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: ANDREA WILLIAMS
  • NPI Number: 1861143646
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2248596
LAB Type Health Fair
Facility Name QUAD CENTRAL, LLC
Street 3540 E BROAD ST SUITE 120
City MANSFIELD
State TX
ZIP 76063
Phone 903 445-1265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Health Fair
Lab Director ANDREA WILLIAMS

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