45D2311669 CLIA NUMBER - HERO CLINICAL LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 45D2311669
  • Facility Name: HERO CLINICAL LABORATORY LLC
  • Facility Address: 2125 BIRCH BEND
    MESQUITE, TX
    ZIP 75181
  • Facility Phone: 945 536-1396
  • Facility Type: Other - DIAGNOSTIC TESTING
  • Facility Type: Waiver
  • Lab Director: NICOLE PENNEGRAPH
  • NPI Number: 1871347252
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2311669
LAB Type Other - DIAGNOSTIC TESTING
Facility Name HERO CLINICAL LABORATORY LLC
Street 2125 BIRCH BEND
City MESQUITE
State TX
ZIP 75181
Phone 945 536-1396
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Other - DIAGNOSTIC TESTING
Lab Director NICOLE PENNEGRAPH

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