45D0675743 CLIA NUMBER - TEXAS NATIVE HEALTH

Laboratory Demographics

  • CLIA Code: 45D0675743
  • Facility Name: TEXAS NATIVE HEALTH
  • Facility Address: 1283 RECORD CROSSING ROAD
    DALLAS, TX
    ZIP 75235
  • Facility Phone: 214 941-1050
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GARY VOLLENWEIDER
  • NPI Number: 1710108923
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0675743
LAB Type Community Clinic
Facility Name TEXAS NATIVE HEALTH
Street 1283 RECORD CROSSING ROAD
City DALLAS
State TX
ZIP 75235
Phone 214 941-1050
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 Community Clinic
Lab Director GARY VOLLENWEIDER

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