45D2194927 CLIA NUMBER - TEXAS HEALTH BREEZE URGENT CARE

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Laboratory Demographics

CLIA Number: 45D2194927

Facility Name: TEXAS HEALTH BREEZE URGENT CARE

Facility Address:
4630 LONG PRAIRIE RD SUITE 210
FLOWER MOUND, TX
ZIP 75028
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Facility Phone Number: 469 495-9112

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1285976183

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2194927
LAB Type	Other - URGENT CARE
Facility Name	TEXAS HEALTH BREEZE URGENT CARE
Street	4630 LONG PRAIRIE RD SUITE 210
City	FLOWER MOUND
State	TX
ZIP	75028
Phone	469 495-9112
CertificateType	4
CertificateEffectiveDate	10/5/2022
CertificateExpirationDate	10/4/2024
FacilityType	Waiver

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