45D2306651 CLIA NUMBER - CENTRO MEDICO BETHEL

Laboratory Demographics

  • CLIA Code: 45D2306651
  • Facility Name: CENTRO MEDICO BETHEL
  • Facility Address: 3201 I-30 SUITE E
    MESQUITE, TX
    ZIP 75150
  • Facility Phone: (214) 468-4454
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAYELIN CIPRIAN
  • NPI Number: 1871287094
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2306651
LAB Type Physician Office
Facility Name CENTRO MEDICO BETHEL
Street 3201 I-30 SUITE E
City MESQUITE
State TX
ZIP 75150
Phone 2144684454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director MAYELIN CIPRIAN

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This page was last updated on: 5/15/2026