45D2117689 CLIA NUMBER - TEXOMA COMMUNITY CENTER ADDICTION TREATMENT FACILITY

Laboratory Demographics

  • CLIA Code: 45D2117689
  • Facility Name: TEXOMA COMMUNITY CENTER ADDICTION TREATMENT FACILITY
  • Facility Address: 315 W MCLAIN
    SHERMAN, TX
    ZIP 75092
  • Facility Phone: 903 957-4803
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: NATHANIEL L. LIGHTFOOT
  • NPI Number: 1851309462
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D2117689
LAB Type Comp. Outpatient Rehab Facility
Facility Name TEXOMA COMMUNITY CENTER ADDICTION TREATMENT FACILITY
Street 315 W MCLAIN
City SHERMAN
State TX
ZIP 75092
Phone 903 957-4803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director NATHANIEL L. LIGHTFOOT

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