45D2277489 CLIA NUMBER - FULL LIFE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D2277489
  • Facility Name: FULL LIFE PRIMARY CARE
  • Facility Address: 600 E TAYLOR ST SUITE 201
    SHERMAN, TX
    ZIP 75090
  • Facility Phone: 903 257-3929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENSON ABRAHAM
  • NPI Number: 1427775451
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2277489
LAB Type Physician Office
Facility Name FULL LIFE PRIMARY CARE
Street 600 E TAYLOR ST SUITE 201
City SHERMAN
State TX
ZIP 75090
Phone 903 257-3929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director JENSON ABRAHAM

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