45D1102053 CLIA NUMBER - REGIONAL PAIN CARE OF NORTH TEXAS

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Laboratory Demographics

CLIA Number: 45D1102053

Facility Name: REGIONAL PAIN CARE OF NORTH TEXAS

Facility Address:
1111 RAINTREE CIRCLE, SUITE 170
ALLEN, TX
ZIP 75013
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Facility Phone Number: 214 509-9691

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1124032412

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	45D1102053
LAB Type	Physician Office
Facility Name	REGIONAL PAIN CARE OF NORTH TEXAS
Street	1111 RAINTREE CIRCLE, SUITE 170
City	ALLEN
State	TX
ZIP	75013
Phone	214 509-9691
CertificateType	4
CertificateEffectiveDate	7/9/2023
CertificateExpirationDate	7/8/2025
FacilityType	Waiver

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