45D2167162 CLIA NUMBER - BEAUTIFUL MINDS

Laboratory Demographics

CLIA Number: 45D2167162

Facility Name: BEAUTIFUL MINDS

Facility Address:
8501 WADE BLVD SUITE 110
FRISCO, TX
ZIP 75034
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Facility Phone Number: 972 668-3109

Facility Type: Other - CLINICAL RESEARCH

Certificate Type: Waiver

NPI Number: 1346955044

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2167162
LAB Type	Other - CLINICAL RESEARCH
Facility Name	BEAUTIFUL MINDS
Street	8501 WADE BLVD SUITE 110
City	FRISCO
State	TX
ZIP	75034
Phone	972 668-3109
CertificateType	4
CertificateEffectiveDate	6/4/2023
CertificateExpirationDate	6/3/2025
FacilityType	Waiver

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