45D2195073 CLIA NUMBER - COMPLETE HEALTH AT GREEN OAKS, PLLC

Home > CLIA Lookup > 45D2195073

Laboratory Demographics

CLIA Number: 45D2195073

Facility Name: COMPLETE HEALTH AT GREEN OAKS, PLLC

Facility Address:
4204 SW GREEN OAKS BLVD SUITE 150
ARLINGTON, TX
ZIP 76017
Get Directions

Facility Phone Number: 682 560-9587

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1245833243

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2195073
LAB Type	Practitioner Other
Facility Name	COMPLETE HEALTH AT GREEN OAKS, PLLC
Street	4204 SW GREEN OAKS BLVD SUITE 150
City	ARLINGTON
State	TX
ZIP	76017
Phone	682 560-9587
CertificateType	4
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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