45D2281527 CLIA NUMBER - PECULIAR CARE WELLNESS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 45D2281527
  • Facility Name: PECULIAR CARE WELLNESS CENTER, LLC
  • Facility Address: 1030 S CARRIER PKWY SUITE 100
    GRAND PRAIRIE, TX
    ZIP 75051
  • Facility Phone: 214 597-3113
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANTHONIA DURU
  • NPI Number: 1306542865
  • Taxonomy: 163WP0808X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 45D2281527
LAB Type Practitioner Other
Facility Name PECULIAR CARE WELLNESS CENTER, LLC
Street 1030 S CARRIER PKWY SUITE 100
City GRAND PRAIRIE
State TX
ZIP 75051
Phone 214 597-3113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Practitioner Other
Lab Director ANTHONIA DURU

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