45D1010986 CLIA NUMBER - EDEN OF LAS COLINAS, THE

Laboratory Demographics

  • CLIA Code: 45D1010986
  • Facility Name: EDEN OF LAS COLINAS, THE
  • Facility Address: 2101 W NORTHGATE DRIVE
    IRVING, TX
    ZIP 75038
  • Facility Phone: 972 255-4460
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SYED JAMAL
  • NPI Number: 1982698742
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D1010986
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EDEN OF LAS COLINAS, THE
Street 2101 W NORTHGATE DRIVE
City IRVING
State TX
ZIP 75038
Phone 972 255-4460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SYED JAMAL

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