45D2257708 CLIA NUMBER - LOVING CARE MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 45D2257708
  • Facility Name: LOVING CARE MEDICAL GROUP, LLC
  • Facility Address: 2275 WESTPARK CT SUITE 101
    EULESS, TX
    ZIP 76040
  • Facility Phone: 817 471-2171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANA I. VALDES ROQUE
  • NPI Number: 1245583426
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2257708
LAB Type Physician Office
Facility Name LOVING CARE MEDICAL GROUP, LLC
Street 2275 WESTPARK CT SUITE 101
City EULESS
State TX
ZIP 76040
Phone 817 471-2171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director ANA I. VALDES ROQUE

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