45D2207838 CLIA NUMBER - TX OTP, LLC DBA MAT TEXAS

Laboratory Demographics

  • CLIA Code: 45D2207838
  • Facility Name: TX OTP, LLC DBA MAT TEXAS
  • Facility Address: 2100 N STATE HWY 360 SUITE 1904
    GRAND PRAIRIE, TX
    ZIP 75050
  • Facility Phone: 469 460-7090
  • Facility Type: Other - OPIATE TREATMENT
  • Facility Type: Waiver
  • Lab Director: JESSICA RAMSEY-ROBBINS
  • NPI Number: 1205582822
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2207838
LAB Type Other - OPIATE TREATMENT
Facility Name TX OTP, LLC DBA MAT TEXAS
Street 2100 N STATE HWY 360 SUITE 1904
City GRAND PRAIRIE
State TX
ZIP 75050
Phone 469 460-7090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Other - OPIATE TREATMENT
Lab Director JESSICA RAMSEY-ROBBINS

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