45D2275662 CLIA NUMBER - CARE MD CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 45D2275662
  • Facility Name: CARE MD CLINIC, PLLC
  • Facility Address: 2601 LITTLE ELM PKWY SUITE 1404
    LITTLE ELM, TX
    ZIP 75068
  • Facility Phone: 972 972-4234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAEK SOO SHIN
  • NPI Number: 1265150148
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2275662
LAB Type Physician Office
Facility Name CARE MD CLINIC, PLLC
Street 2601 LITTLE ELM PKWY SUITE 1404
City LITTLE ELM
State TX
ZIP 75068
Phone 972 972-4234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director TAEK SOO SHIN

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