45D2291671 CLIA NUMBER - A1 MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D2291671
  • Facility Name: A1 MEDICAL CLINIC
  • Facility Address: 3648 OLD DENTON ROAD SUITE 110A
    CARROLLTON, TX
    ZIP 75007
  • Facility Phone: 214 387-1888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEEBA R. MATHAI
  • NPI Number: 1316632540
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2291671
LAB Type Physician Office
Facility Name A1 MEDICAL CLINIC
Street 3648 OLD DENTON ROAD SUITE 110A
City CARROLLTON
State TX
ZIP 75007
Phone 214 387-1888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2023
Certificate Expiration Date 10/12/2025
Facility Type Physician Office
Lab Director SHEEBA R. MATHAI

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