45D2203466 CLIA NUMBER - MIDTOWNE ASSISTED LIVING & MEMORY CARE

Laboratory Demographics

  • CLIA Code: 45D2203466
  • Facility Name: MIDTOWNE ASSISTED LIVING & MEMORY CARE
  • Facility Address: 910 S 9TH ST
    MIDLOTHIAN, TX
    ZIP 76065
  • Facility Phone: 469 672-1400
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: AMANDA BARRON
  • NPI Number: 1215322169
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2203466
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MIDTOWNE ASSISTED LIVING & MEMORY CARE
Street 910 S 9TH ST
City MIDLOTHIAN
State TX
ZIP 76065
Phone 469 672-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director AMANDA BARRON

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