45D2236122 CLIA NUMBER - QUALITY MOBILE LAB

Laboratory Demographics

CLIA Number: 45D2236122

Facility Name: QUALITY MOBILE LAB

Facility Address:
621 GRIFFIN ST
LANCASTER, TX
ZIP 75146
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Facility Phone Number: 214 434-3141

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1285398339

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	45D2236122
LAB Type	Mobile Laboratory
Facility Name	QUALITY MOBILE LAB
Street	621 GRIFFIN ST
City	LANCASTER
State	TX
ZIP	75146
Phone	214 434-3141
CertificateType	4
CertificateEffectiveDate	9/15/2023
CertificateExpirationDate	9/14/2025
FacilityType	Waiver

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