45D2186814 CLIA NUMBER - CYPRESS LAKES LODGE DBA ORGINIS RECOVERY OF TEXAS

Laboratory Demographics

  • CLIA Code: 45D2186814
  • Facility Name: CYPRESS LAKES LODGE DBA ORGINIS RECOVERY OF TEXAS
  • Facility Address: 12870 HILLCREST RD SUITE H226
    DALLAS, TX
    ZIP 75230
  • Facility Phone: 956 299-4699
  • Facility Type: Other - SUBSTANCE USE TREATMENT
  • Facility Type: Waiver
  • Lab Director: JOE MARTINEZ
  • NPI Number: 1679116909
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2186814
LAB Type Other - SUBSTANCE USE TREATMENT
Facility Name CYPRESS LAKES LODGE DBA ORGINIS RECOVERY OF TEXAS
Street 12870 HILLCREST RD SUITE H226
City DALLAS
State TX
ZIP 75230
Phone 956 299-4699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Other - SUBSTANCE USE TREATMENT
Lab Director JOE MARTINEZ

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