45D2295487 CLIA NUMBER - TCF LAB SERVICE LLC

Laboratory Demographics

  • CLIA Code: 45D2295487
  • Facility Name: TCF LAB SERVICE LLC
  • Facility Address: 1601 E LAMAR BLVD SUITE 108
    ARLINGTON, TX
    ZIP 76011
  • Facility Phone: 936 221-1099
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: EVELINA L. KISSENTANER
  • NPI Number: 1891547790
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2295487
LAB Type Community Clinic
Facility Name TCF LAB SERVICE LLC
Street 1601 E LAMAR BLVD SUITE 108
City ARLINGTON
State TX
ZIP 76011
Phone 936 221-1099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Community Clinic
Lab Director EVELINA L. KISSENTANER

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