45D1106829 CLIA NUMBER - NORTH TEXAS KIDNEY CONSULTANTS-DFW

Laboratory Demographics

CLIA Number: 45D1106829

Facility Name: NORTH TEXAS KIDNEY CONSULTANTS-DFW

Facility Address:
4907 S COLLINS STREET, SUITE 101
ARLINGTON, TX
ZIP 76018
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Facility Phone Number: 817 375-0610

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306202411

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	45D1106829
LAB Type	Physician Office
Facility Name	NORTH TEXAS KIDNEY CONSULTANTS-DFW
Street	4907 S COLLINS STREET, SUITE 101
City	ARLINGTON
State	TX
ZIP	76018
Phone	817 375-0610
CertificateType	4
CertificateEffectiveDate	10/22/2023
CertificateExpirationDate	10/21/2025
FacilityType	Waiver

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