45D1075669 CLIA NUMBER - CALLOWAY CREEK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D1075669
  • Facility Name: CALLOWAY CREEK SURGERY CENTER
  • Facility Address: 4300 CITY POINT DRIVE SUITE 100
    NORTH RICHLAND HILLS, TX
    ZIP 76180
  • Facility Phone: 817 548-4000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SAMANTHA HADDOCK
  • NPI Number: 1962626523
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1075669
LAB Type Ambulatory Surgery Center
Facility Name CALLOWAY CREEK SURGERY CENTER
Street 4300 CITY POINT DRIVE SUITE 100
City NORTH RICHLAND HILLS
State TX
ZIP 76180
Phone 817 548-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Ambulatory Surgery Center
Lab Director SAMANTHA HADDOCK

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