45D2321804 CLIA NUMBER - EVERCREST MEDGEAR LLC

Laboratory Demographics

  • CLIA Code: 45D2321804
  • Facility Name: EVERCREST MEDGEAR LLC
  • Facility Address: 2727 LYNDON B JOHNSON FWY STE 554
    FARMERS BRANCH, TX
    ZIP 75234
  • Facility Phone: 469 880-1339
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: FNU FATIMA BEGUM
  • NPI Number: 1598552747
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2321804
LAB Type Independent
Facility Name EVERCREST MEDGEAR LLC
Street 2727 LYNDON B JOHNSON FWY STE 554
City FARMERS BRANCH
State TX
ZIP 75234
Phone 469 880-1339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Independent
Lab Director FNU FATIMA BEGUM

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