45D2122486 CLIA NUMBER - SHERIDAN MEDICAL LODGE

Laboratory Demographics

  • CLIA Code: 45D2122486
  • Facility Name: SHERIDAN MEDICAL LODGE
  • Facility Address: 1119 S RED RIVER EXPRESSWAY
    BURKBURNETT, TX
    ZIP 76354
  • Facility Phone: 940 569-9500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD MILLER
  • NPI Number: 1851849897
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2122486
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHERIDAN MEDICAL LODGE
Street 1119 S RED RIVER EXPRESSWAY
City BURKBURNETT
State TX
ZIP 76354
Phone 940 569-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RICHARD MILLER

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