45D2189515 CLIA NUMBER - BODY LOUNGE PARK CITIES

Laboratory Demographics

  • CLIA Code: 45D2189515
  • Facility Name: BODY LOUNGE PARK CITIES
  • Facility Address: 6805 HILCREST AVE SUITE 208
    DALLAS, TX
    ZIP 75205
  • Facility Phone: 972 803-4432
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHERINE B. THORNTON
  • NPI Number: 1144798083
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2189515
LAB Type Physician Office
Facility Name BODY LOUNGE PARK CITIES
Street 6805 HILCREST AVE SUITE 208
City DALLAS
State TX
ZIP 75205
Phone 972 803-4432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director KATHERINE B. THORNTON

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