45D2316942 CLIA NUMBER - HEALTH MATTERS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D2316942
  • Facility Name: HEALTH MATTERS PRIMARY CARE
  • Facility Address: 116 RIVER OAKS DRIVE # 100
    SOUTHLAKE, TX
    ZIP 76092
  • Facility Phone: 817 431-7210
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: INEZ JOHNSON
  • NPI Number: 1023849957
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2316942
LAB Type Practitioner Other
Facility Name HEALTH MATTERS PRIMARY CARE
Street 116 RIVER OAKS DRIVE # 100
City SOUTHLAKE
State TX
ZIP 76092
Phone 817 431-7210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Practitioner Other
Lab Director INEZ JOHNSON

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This page was last updated on: 6/4/2025