45D2191720 CLIA NUMBER - COPPELL ALF, LLC

Laboratory Demographics

  • CLIA Code: 45D2191720
  • Facility Name: COPPELL ALF, LLC
  • Facility Address: 1530 E SANDY LAKE RD
    COPPELL, TX
    ZIP 75019
  • Facility Phone: 214 390-2450
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LINDA CARR
  • NPI Number: 1346576949
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2191720
LAB Type Assisted Living Facility
Facility Name COPPELL ALF, LLC
Street 1530 E SANDY LAKE RD
City COPPELL
State TX
ZIP 75019
Phone 214 390-2450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Assisted Living Facility
Lab Director LINDA CARR

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