45D2168011 CLIA NUMBER - CARE ATC - JOSEY RANCH

Laboratory Demographics

  • CLIA Code: 45D2168011
  • Facility Name: CARE ATC - JOSEY RANCH
  • Facility Address: 1735 KELLER SPRINGS SUITE 100
    CARROLLTON, TX
    ZIP 75006
  • Facility Phone: 918 779-7451
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHADI EDALATI
  • NPI Number: 1598316275
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2168011
LAB Type Physician Office
Facility Name CARE ATC - JOSEY RANCH
Street 1735 KELLER SPRINGS SUITE 100
City CARROLLTON
State TX
ZIP 75006
Phone 918 779-7451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director SHADI EDALATI

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