45D2319828 CLIA NUMBER - BURLESON MODERN DENTISTRY

Laboratory Demographics

  • CLIA Code: 45D2319828
  • Facility Name: BURLESON MODERN DENTISTRY
  • Facility Address: 185 NW JOHN JONES DR. STE 600
    BURLESON, TX
    ZIP 76028
  • Facility Phone: 817 295-8884
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DREW MCCAFFREY
  • NPI Number: 1841507571
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2319828
LAB Type Practitioner Other
Facility Name BURLESON MODERN DENTISTRY
Street 185 NW JOHN JONES DR. STE 600
City BURLESON
State TX
ZIP 76028
Phone 817 295-8884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Practitioner Other
Lab Director DREW MCCAFFREY

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