45D2273088 CLIA NUMBER - DFW PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2273088
  • Facility Name: DFW PRIMARY CARE, PLLC
  • Facility Address: 2925 SKYWAY CIRCLE NORTH SUITE 101
    IRVING, TX
    ZIP 75038
  • Facility Phone: 972 639-5838
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUMANA KETHA
  • NPI Number: 1063835361
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2273088
LAB Type Physician Office
Facility Name DFW PRIMARY CARE, PLLC
Street 2925 SKYWAY CIRCLE NORTH SUITE 101
City IRVING
State TX
ZIP 75038
Phone 972 639-5838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Physician Office
Lab Director SUMANA KETHA

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