45D2224149 CLIA NUMBER - CONNECTIONS WELLNESS GROUP DBA CONNECTIONS FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 45D2224149

Facility Name: CONNECTIONS WELLNESS GROUP DBA CONNECTIONS FAMILY MEDICINE

Facility Address:
2721 SHORELINE DR SUITE 120
DENTON, TX
ZIP 76210
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Facility Phone Number: 940 222-2399

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1992369177

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2224149
LAB Type	Physician Office
Facility Name	CONNECTIONS WELLNESS GROUP DBA CONNECTIONS FAMILY MEDICINE
Street	2721 SHORELINE DR SUITE 120
City	DENTON
State	TX
ZIP	76210
Phone	940 222-2399
CertificateType	4
CertificateEffectiveDate	5/12/2023
CertificateExpirationDate	5/11/2025
FacilityType	Waiver

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