45D2189421 CLIA NUMBER - MEDICAL CITY SURGERY CENTER OF NORTH TEXAS

Laboratory Demographics

CLIA Number: 45D2189421

Facility Name: MEDICAL CITY SURGERY CENTER OF NORTH TEXAS

Facility Address:
330 S STANDRIDGE BLVD
ANNA, TX
ZIP 75409
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Facility Phone Number: 214 831-1300

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1528604675

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2189421
LAB Type	Ambulatory Surgery Center
Facility Name	MEDICAL CITY SURGERY CENTER OF NORTH TEXAS
Street	330 S STANDRIDGE BLVD
City	ANNA
State	TX
ZIP	75409
Phone	214 831-1300
CertificateType	4
CertificateEffectiveDate	7/30/2022
CertificateExpirationDate	7/29/2024
FacilityType	Waiver

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