45D2146147 CLIA NUMBER - VIRTUOUS HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 45D2146147
  • Facility Name: VIRTUOUS HEALTH SERVICES LLC
  • Facility Address: 6960 REGATTA DR
    GRAND PRAIRIE, TX
    ZIP 75054
  • Facility Phone: 817 405-6274
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALTRALVISE JOHNSON
  • NPI Number: 1326568650
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2146147
LAB Type Home Health Agency
Facility Name VIRTUOUS HEALTH SERVICES LLC
Street 6960 REGATTA DR
City GRAND PRAIRIE
State TX
ZIP 75054
Phone 817 405-6274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Home Health Agency
Lab Director ALTRALVISE JOHNSON

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