45D0487302 CLIA NUMBER - VINTAGE HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 45D0487302
  • Facility Name: VINTAGE HEALTH CARE CENTER
  • Facility Address: 205 N BONNIE BRAE
    DENTON, TX
    ZIP 76201
  • Facility Phone: 940 373-4766
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Microscopy
  • Lab Director: DEBRA A. BARNES
  • NPI Number: 1679718407
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0487302
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VINTAGE HEALTH CARE CENTER
Street 205 N BONNIE BRAE
City DENTON
State TX
ZIP 76201
Phone 940 373-4766
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DEBRA A. BARNES

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