45D1103917 CLIA NUMBER - CITY DOC URGENT CARE CENTER # 2,PLLC

Laboratory Demographics

CLIA Number: 45D1103917

Facility Name: CITY DOC URGENT CARE CENTER # 2,PLLC

Facility Address:
5301 W LOVERS LANE
DALLAS, TX
ZIP 75209
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Facility Phone Number: 214 352-7800

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1003044942

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1103917
LAB Type	Community Clinic
Facility Name	CITY DOC URGENT CARE CENTER # 2,PLLC
Street	5301 W LOVERS LANE
City	DALLAS
State	TX
ZIP	75209
Phone	214 352-7800
CertificateType	4
CertificateEffectiveDate	8/20/2023
CertificateExpirationDate	8/19/2025
FacilityType	Waiver

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