45D2048857 CLIA NUMBER - MEREDITH PLACE

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Laboratory Demographics

CLIA Number: 45D2048857

Facility Name: MEREDITH PLACE

Facility Address:
812 W 25TH AVE
PAMPA, TX
ZIP 79065
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Facility Phone Number: 806 665-5668

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1841317690

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	45D2048857
LAB Type	Assisted Living Facility
Facility Name	MEREDITH PLACE
Street	812 W 25TH AVE
City	PAMPA
State	TX
ZIP	79065
Phone	806 665-5668
CertificateType	4
CertificateEffectiveDate	10/25/2022
CertificateExpirationDate	10/24/2024
FacilityType	Waiver

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