45D2314660 CLIA NUMBER - ON DEMAND DIRECT PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 45D2314660
  • Facility Name: ON DEMAND DIRECT PRIMARY CARE PLLC
  • Facility Address: 337 MCCONATHY WAY
    FLOWER MOUND, TX
    ZIP 75028
  • Facility Phone: 817 733-5557
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYNDA HATLEY
  • NPI Number: 1134943095
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2314660
LAB Type Physician Office
Facility Name ON DEMAND DIRECT PRIMARY CARE PLLC
Street 337 MCCONATHY WAY
City FLOWER MOUND
State TX
ZIP 75028
Phone 817 733-5557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director LYNDA HATLEY

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