45D0479348 CLIA NUMBER - RENAISSANCE AT KESSLER PARK, THE HAMILTON COUNTY HOSPITAL DISTRICT

Laboratory Demographics

  • CLIA Code: 45D0479348
  • Facility Name: RENAISSANCE AT KESSLER PARK, THE HAMILTON COUNTY HOSPITAL DISTRICT
  • Facility Address: 2428 BAHAMA DRIVE
    DALLAS, TX
    ZIP 75211
  • Facility Phone: 214 948-3811
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MONTE MITCHELL
  • NPI Number: 1972839348
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0479348
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RENAISSANCE AT KESSLER PARK, THE HAMILTON COUNTY HOSPITAL DISTRICT
Street 2428 BAHAMA DRIVE
City DALLAS
State TX
ZIP 75211
Phone 214 948-3811
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 MONTE MITCHELL

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