45D2291072 CLIA NUMBER - AGUILAR FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 45D2291072
  • Facility Name: AGUILAR FAMILY CLINIC
  • Facility Address: 10025 LAKE JUNE RD SUITE A
    DALLAS, TX
    ZIP 75217
  • Facility Phone: 214 484-8380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISANDRA BRIZUELA AGUILAR
  • NPI Number: 1558068460
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2291072
LAB Type Physician Office
Facility Name AGUILAR FAMILY CLINIC
Street 10025 LAKE JUNE RD SUITE A
City DALLAS
State TX
ZIP 75217
Phone 214 484-8380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Physician Office
Lab Director LISANDRA BRIZUELA AGUILAR

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This page was last updated on: 6/4/2025