45D2281243 CLIA NUMBER - PRIME PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D2281243
  • Facility Name: PRIME PRIMARY CARE
  • Facility Address: 1162 W PIONEER PKWY
    ARLINGTON, TX
    ZIP 76013
  • Facility Phone: 469 850-6931
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANAS AL HALLAK
  • NPI Number: 1477286979
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2281243
LAB Type Physician Office
Facility Name PRIME PRIMARY CARE
Street 1162 W PIONEER PKWY
City ARLINGTON
State TX
ZIP 76013
Phone 469 850-6931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director ANAS AL HALLAK

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