45D2080187 CLIA NUMBER - HOLLYMEAD

Laboratory Demographics

  • CLIA Code: 45D2080187
  • Facility Name: HOLLYMEAD
  • Facility Address: 4101 LONG PRAIRIE ROAD
    FLOWER MOUND, TX
    ZIP 75028
  • Facility Phone: 214 285-3200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA DEAN
  • NPI Number: 1962823401
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2080187
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOLLYMEAD
Street 4101 LONG PRAIRIE ROAD
City FLOWER MOUND
State TX
ZIP 75028
Phone 214 285-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LISA DEAN

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