45D0477597 CLIA NUMBER - LIFE CARE CENTER OF PLANO

Laboratory Demographics

  • CLIA Code: 45D0477597
  • Facility Name: LIFE CARE CENTER OF PLANO
  • Facility Address: 3800 W PARK BLVD
    PLANO, TX
    ZIP 75075
  • Facility Phone: 214 612-1700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA MILLER
  • NPI Number: 1487687471
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0477597
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF PLANO
Street 3800 W PARK BLVD
City PLANO
State TX
ZIP 75075
Phone 214 612-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director REBECCA MILLER

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