45D2145611 CLIA NUMBER - LAKEWEST ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 45D2145611
  • Facility Name: LAKEWEST ASSISTED LIVING
  • Facility Address: 3494 KINGBRIDGE ST
    DALLAS, TX
    ZIP 75212
  • Facility Phone: 469 206-0640
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARK JONES
  • NPI Number: 1346550654
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2145611
LAB Type Assisted Living Facility
Facility Name LAKEWEST ASSISTED LIVING
Street 3494 KINGBRIDGE ST
City DALLAS
State TX
ZIP 75212
Phone 469 206-0640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Assisted Living Facility
Lab Director MARK JONES

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