45D2233399 CLIA NUMBER - AUTUMN LEAVES OF CARROLLTON

Laboratory Demographics

CLIA Number: 45D2233399

Facility Name: AUTUMN LEAVES OF CARROLLTON

Facility Address:
1800 KING ARTHUR BLVD
CARROLLTON, TX
ZIP 75010
Get Directions

Facility Phone Number: 972 492-7700

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1205091014

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	45D2233399
LAB Type	Assisted Living Facility
Facility Name	AUTUMN LEAVES OF CARROLLTON
Street	1800 KING ARTHUR BLVD
City	CARROLLTON
State	TX
ZIP	75010
Phone	972 492-7700
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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