45D2161698 CLIA NUMBER - ACCESS COUNSELING GROUP

Laboratory Demographics

CLIA Number: 45D2161698

Facility Name: ACCESS COUNSELING GROUP

Facility Address:
4280 MAIN ST SUITE 300
FRISCO, TX
ZIP 75033
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Facility Phone Number: 972 905-6574

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1629268644

Taxonomy: 101YA0400X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	45D2161698
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	ACCESS COUNSELING GROUP
Street	4280 MAIN ST SUITE 300
City	FRISCO
State	TX
ZIP	75033
Phone	972 905-6574
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024