45D0682007 CLIA NUMBER - DESOTO NURSING HOME

Laboratory Demographics

  • CLIA Code: 45D0682007
  • Facility Name: DESOTO NURSING HOME
  • Facility Address: 1101 N HAMPTON RD
    DESOTO, TX
    ZIP 75115
  • Facility Phone: 214 223-3944
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER BLUE
  • NPI Number: 1457920373
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0682007
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DESOTO NURSING HOME
Street 1101 N HAMPTON RD
City DESOTO
State TX
ZIP 75115
Phone 214 223-3944
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 CHRISTOPHER BLUE

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