45D2079179 CLIA NUMBER - DENTON COUNTY MHMR CENTER

Laboratory Demographics

  • CLIA Code: 45D2079179
  • Facility Name: DENTON COUNTY MHMR CENTER
  • Facility Address: 2509 SCRIPTURE STREET SUITE 103
    DENTON, TX
    ZIP 76201
  • Facility Phone: 940 381-1740
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA GUTIERREZ
  • NPI Number: 1437510047
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2079179
LAB Type Physician Office
Facility Name DENTON COUNTY MHMR CENTER
Street 2509 SCRIPTURE STREET SUITE 103
City DENTON
State TX
ZIP 76201
Phone 940 381-1740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director PAMELA GUTIERREZ

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