45D2123504 CLIA NUMBER - HEALING SPRINGS, LLC DBA HEALING SPRINGS RANCH

Laboratory Demographics

  • CLIA Code: 45D2123504
  • Facility Name: HEALING SPRINGS, LLC DBA HEALING SPRINGS RANCH
  • Facility Address: 100 S TEXAS STREET
    TIOGA, TX
    ZIP 76271
  • Facility Phone: 940 229-5000
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: PAVAN PAMADURTHI
  • NPI Number: 1114473311
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2123504
LAB Type Ancillary Testing Site in Health Care Center
Facility Name HEALING SPRINGS, LLC DBA HEALING SPRINGS RANCH
Street 100 S TEXAS STREET
City TIOGA
State TX
ZIP 76271
Phone 940 229-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director PAVAN PAMADURTHI

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