45D2054187 CLIA NUMBER - STONEGATE CENTER ,LLC

Laboratory Demographics

  • CLIA Code: 45D2054187
  • Facility Name: STONEGATE CENTER ,LLC
  • Facility Address: 7510 FM 1886
    AZLE, TX
    ZIP 76020
  • Facility Phone: 817 448-8893
  • Facility Type: Other - RESIDENTIAL SUD FACILITY
  • Facility Type: Waiver
  • Lab Director: ALICIA PATTERSON
  • NPI Number: 1447573670
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2054187
LAB Type Other - RESIDENTIAL SUD FACILITY
Facility Name STONEGATE CENTER ,LLC
Street 7510 FM 1886
City AZLE
State TX
ZIP 76020
Phone 817 448-8893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Other - RESIDENTIAL SUD FACILITY
Lab Director ALICIA PATTERSON

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This page was last updated on: 9/29/2025