45D2316526 CLIA NUMBER - FRONTIER DIRECT CARE - DALLAS

Laboratory Demographics

  • CLIA Code: 45D2316526
  • Facility Name: FRONTIER DIRECT CARE - DALLAS
  • Facility Address: 8240 MOBERLY LN
    DALLAS, TX
    ZIP 75227
  • Facility Phone: 945 212-2370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER LAZZOPINA
  • NPI Number: 1750199006
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2316526
LAB Type Physician Office
Facility Name FRONTIER DIRECT CARE - DALLAS
Street 8240 MOBERLY LN
City DALLAS
State TX
ZIP 75227
Phone 945 212-2370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director PETER LAZZOPINA

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