45D2292536 CLIA NUMBER - CLINICA HF JUPITER LLC

Laboratory Demographics

  • CLIA Code: 45D2292536
  • Facility Name: CLINICA HF JUPITER LLC
  • Facility Address: 3516 W WALNUT ST
    GARLAND, TX
    ZIP 75042
  • Facility Phone: 241 888-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PEDRO ENRIQUE ROSAS SANTIAGO
  • NPI Number: 1164280244
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2292536
LAB Type Physician Office
Facility Name CLINICA HF JUPITER LLC
Street 3516 W WALNUT ST
City GARLAND
State TX
ZIP 75042
Phone 241 888-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director PEDRO ENRIQUE ROSAS SANTIAGO

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