45D2125543 CLIA NUMBER - PALOMINO PLACE

Laboratory Demographics

  • CLIA Code: 45D2125543
  • Facility Name: PALOMINO PLACE
  • Facility Address: 3160 GUS THOMASSON ROAD
    MESQUITE, TX
    ZIP 75150
  • Facility Phone: 469 329-4002
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEFF HILBURN
  • NPI Number: 1386192912
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2125543
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PALOMINO PLACE
Street 3160 GUS THOMASSON ROAD
City MESQUITE
State TX
ZIP 75150
Phone 469 329-4002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JEFF HILBURN

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