45D2310623 CLIA NUMBER - SUMMIT HEALTHCARE PLLC

Laboratory Demographics

  • CLIA Code: 45D2310623
  • Facility Name: SUMMIT HEALTHCARE PLLC
  • Facility Address: 2900 DENTON HWY #A
    HALTOM CITY, TX
    ZIP 76117
  • Facility Phone: 817 907-8081
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LOUIS J. GRAHAM
  • NPI Number: 1740005362
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2310623
LAB Type Community Clinic
Facility Name SUMMIT HEALTHCARE PLLC
Street 2900 DENTON HWY #A
City HALTOM CITY
State TX
ZIP 76117
Phone 817 907-8081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Community Clinic
Lab Director LOUIS J. GRAHAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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