45D2248895 CLIA NUMBER - PRIME CARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 45D2248895
  • Facility Name: PRIME CARE SERVICES, INC
  • Facility Address: 2306 OAK LN SUITE 206
    GRAND PRAIRIE, TX
    ZIP 75051
  • Facility Phone: 972 454-4999
  • Facility Type: Other - HOUSE CALL PRACTICE
  • Facility Type: Waiver
  • Lab Director: EBOZUE COMFORT
  • NPI Number: 1326381401
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2248895
LAB Type Other - HOUSE CALL PRACTICE
Facility Name PRIME CARE SERVICES, INC
Street 2306 OAK LN SUITE 206
City GRAND PRAIRIE
State TX
ZIP 75051
Phone 972 454-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Other - HOUSE CALL PRACTICE
Lab Director EBOZUE COMFORT

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