45D0479414 CLIA NUMBER - JULIETTE FOWLER HOMES INC

Laboratory Demographics

  • CLIA Code: 45D0479414
  • Facility Name: JULIETTE FOWLER HOMES INC
  • Facility Address: 1260 ABRAMS ROAD
    DALLAS, TX
    ZIP 75214
  • Facility Phone: 214 827-0813
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JON GULLEY
  • NPI Number: 1164646287
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0479414
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JULIETTE FOWLER HOMES INC
Street 1260 ABRAMS ROAD
City DALLAS
State TX
ZIP 75214
Phone 214 827-0813
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 JON GULLEY

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