45D2238817 CLIA NUMBER - LIFETALK RESOURCE CENTER

Laboratory Demographics

CLIA Number: 45D2238817

Facility Name: LIFETALK RESOURCE CENTER

Facility Address:
8380 WARREN PKWY SUITE 204
FRISCO, TX
ZIP 75034
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Facility Phone Number: 214 618-9352

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1215420575

Taxonomy: 251V00000X - Voluntary or Charitable

CLIA Record

Field Name	Field Value
CLIA Number	45D2238817
LAB Type	Community Clinic
Facility Name	LIFETALK RESOURCE CENTER
Street	8380 WARREN PKWY SUITE 204
City	FRISCO
State	TX
ZIP	75034
Phone	214 618-9352
CertificateType	4
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Waiver

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