45D2323510 CLIA NUMBER - BLUES FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2323510
  • Facility Name: BLUES FAMILY PRACTICE
  • Facility Address: 2701 W OAK ST SUITE 101
    DENTON, TX
    ZIP 76201
  • Facility Phone: 940 220-8302
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOLANGE L. MFORBI
  • NPI Number: 1881492502
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2323510
LAB Type Physician Office
Facility Name BLUES FAMILY PRACTICE
Street 2701 W OAK ST SUITE 101
City DENTON
State TX
ZIP 76201
Phone 940 220-8302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director SOLANGE L. MFORBI

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