45D2237474 CLIA NUMBER - CENTENARY FAMILY & URGENT CARE

Laboratory Demographics

CLIA Number: 45D2237474

Facility Name: CENTENARY FAMILY & URGENT CARE

Facility Address:
8702 S LANCASTER RD SUITE 160
DALLAS, TX
ZIP 75241
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Facility Phone Number: 469 949-8900

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1104447937

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2237474
LAB Type	Practitioner Other
Facility Name	CENTENARY FAMILY & URGENT CARE
Street	8702 S LANCASTER RD SUITE 160
City	DALLAS
State	TX
ZIP	75241
Phone	469 949-8900
CertificateType	4
CertificateEffectiveDate	9/24/2023
CertificateExpirationDate	9/23/2025
FacilityType	Waiver

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