45D0700320 CLIA NUMBER - PARK VILLAGE HEALHTCARE & REHABILITATION

Laboratory Demographics

  • CLIA Code: 45D0700320
  • Facility Name: PARK VILLAGE HEALHTCARE & REHABILITATION
  • Facility Address: 207 E PARKERVILLE ROAD
    DESOTO, TX
    ZIP 75115
  • Facility Phone: 972 230-1000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEANDRE A. BROWN
  • NPI Number: 1225022908
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0700320
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK VILLAGE HEALHTCARE & REHABILITATION
Street 207 E PARKERVILLE ROAD
City DESOTO
State TX
ZIP 75115
Phone 972 230-1000
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 DEANDRE A. BROWN

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