45D2232258 CLIA NUMBER - ROOTS ADOLESCENT RENEWAL RANCH INC

Laboratory Demographics

  • CLIA Code: 45D2232258
  • Facility Name: ROOTS ADOLESCENT RENEWAL RANCH INC
  • Facility Address: 819 INDIAN TRAIL
    ARGYLE, TX
    ZIP 76226
  • Facility Phone: 214 415-6225
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: MICHELLE SCHWOLERT
  • NPI Number: 1700540515
  • Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2232258
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name ROOTS ADOLESCENT RENEWAL RANCH INC
Street 819 INDIAN TRAIL
City ARGYLE
State TX
ZIP 76226
Phone 214 415-6225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director MICHELLE SCHWOLERT

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