45D2298380 CLIA NUMBER - FULL SPECTRUM MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 45D2298380
  • Facility Name: FULL SPECTRUM MEDICAL PLLC
  • Facility Address: 4301 SATURN RD SUITE 201
    GARLAND, TX
    ZIP 75041
  • Facility Phone: 469 814-9872
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHDI AWWAD
  • NPI Number: 1689246340
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2298380
LAB Type Physician Office
Facility Name FULL SPECTRUM MEDICAL PLLC
Street 4301 SATURN RD SUITE 201
City GARLAND
State TX
ZIP 75041
Phone 469 814-9872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director MAHDI AWWAD

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