45D2190613 CLIA NUMBER - LIGHTHOUSE RECOVERY CENTERS, LLC

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Laboratory Demographics

CLIA Number: 45D2190613

Facility Name: LIGHTHOUSE RECOVERY CENTERS, LLC

Facility Address:
5344 ALPHA RD
DALLAS, TX
ZIP 75240
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Facility Phone Number: 214 396-0259

Facility Type: Other - SUBSTANCE ABUSE TREATMENT

Certificate Type: Waiver

NPI Number: 1821614181

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	45D2190613
LAB Type	Other - SUBSTANCE ABUSE TREATMENT
Facility Name	LIGHTHOUSE RECOVERY CENTERS, LLC
Street	5344 ALPHA RD
City	DALLAS
State	TX
ZIP	75240
Phone	214 396-0259
CertificateType	4
CertificateEffectiveDate	8/17/2022
CertificateExpirationDate	8/16/2024
FacilityType	Waiver

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