45D1007885 CLIA NUMBER - DALLAS HOME TRAINING

Laboratory Demographics

CLIA Number: 45D1007885

Facility Name: DALLAS HOME TRAINING

Facility Address:
6200 LBJ FREEWAY, SUITE 100
DALLAS, TX
ZIP 75240
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Facility Phone Number: 214 466-7233

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1184639957

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1007885
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DALLAS HOME TRAINING
Street	6200 LBJ FREEWAY, SUITE 100
City	DALLAS
State	TX
ZIP	75240
Phone	214 466-7233
CertificateType	4
CertificateEffectiveDate	1/6/2023
CertificateExpirationDate	1/5/2025
FacilityType	Waiver

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