45D0680198 CLIA NUMBER - HIGHLANDS OF DALLAS, THE

Laboratory Demographics

CLIA Number: 45D0680198

Facility Name: HIGHLANDS OF DALLAS, THE

Facility Address:
9009 FOREST LANE
DALLAS, TX
ZIP 75243
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Facility Phone Number: 972 783-1772

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1720214000

Taxonomy: 261QS1200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0680198
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	HIGHLANDS OF DALLAS, THE
Street	9009 FOREST LANE
City	DALLAS
State	TX
ZIP	75243
Phone	972 783-1772
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024