45D0951638 CLIA NUMBER - TEXAS HEALTH ADULT CARE

Laboratory Demographics

CLIA Number: 45D0951638

Facility Name: TEXAS HEALTH ADULT CARE

Facility Address:
3801 WILLIAM D TATE, SUITE 840
GRAPEVINE, TX
ZIP 76051
Get Directions

Facility Phone Number: 817 310-3772

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881124550

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0951638
LAB Type	Physician Office
Facility Name	TEXAS HEALTH ADULT CARE
Street	3801 WILLIAM D TATE, SUITE 840
City	GRAPEVINE
State	TX
ZIP	76051
Phone	817 310-3772
CertificateType	4
CertificateEffectiveDate	11/5/2022
CertificateExpirationDate	11/4/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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