45D2231675 CLIA NUMBER - AUTUMN WIND ASSISTED LIVING NEW BOSTON

Laboratory Demographics

  • CLIA Code: 45D2231675
  • Facility Name: AUTUMN WIND ASSISTED LIVING NEW BOSTON
  • Facility Address: 1 AUTUMN CIRCLE
    NEW BOSTON, TX
    ZIP 75570
  • Facility Phone: 903 628-0477
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TRACY L. GARRETT
  • NPI Number: 1134630908
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2231675
LAB Type Assisted Living Facility
Facility Name AUTUMN WIND ASSISTED LIVING NEW BOSTON
Street 1 AUTUMN CIRCLE
City NEW BOSTON
State TX
ZIP 75570
Phone 903 628-0477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Assisted Living Facility
Lab Director TRACY L. GARRETT

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