45D2121692 CLIA NUMBER - VILLAGE ON THE PARK MCKINNEY

Laboratory Demographics

  • CLIA Code: 45D2121692
  • Facility Name: VILLAGE ON THE PARK MCKINNEY
  • Facility Address: 265 PLATEAU DRIVE
    MCKINNEY, TX
    ZIP 75069
  • Facility Phone: 469 712-7660
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GWEN WILBURN
  • NPI Number: 1518624311
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2121692
LAB Type Assisted Living Facility
Facility Name VILLAGE ON THE PARK MCKINNEY
Street 265 PLATEAU DRIVE
City MCKINNEY
State TX
ZIP 75069
Phone 469 712-7660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Assisted Living Facility
Lab Director GWEN WILBURN

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