45D2190613 CLIA NUMBER - LIGHTHOUSE RECOVERY CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 45D2190613
  • Facility Name: LIGHTHOUSE RECOVERY CENTERS, LLC
  • Facility Address: 5344 ALPHA RD
    DALLAS, TX
    ZIP 75240
  • Facility Phone: 214 396-0259
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: JOHN BOWDEN
  • NPI Number: 1821614181
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director JOHN BOWDEN

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