45D2029075 CLIA NUMBER - FAMILY FOCUSED CARE

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Laboratory Demographics

CLIA Number: 45D2029075

Facility Name: FAMILY FOCUSED CARE

Facility Address:
301 N PRESTON ROAD SUITE B
PROSPER, TX
ZIP 75078
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Facility Phone Number: 972 347-1320

Facility Type: Other - FAMILY NP

Certificate Type: Waiver

NPI Number: 1982984779

Taxonomy: 364SF0001X - Clinical Nurse Specialist

CLIA Record

Field Name	Field Value
CLIA Number	45D2029075
LAB Type	Other - FAMILY NP
Facility Name	FAMILY FOCUSED CARE
Street	301 N PRESTON ROAD SUITE B
City	PROSPER
State	TX
ZIP	75078
Phone	972 347-1320
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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