45D2249030 CLIA NUMBER - TRIPPLE KARE HYDRATION & WELLNESS

Laboratory Demographics

CLIA Number: 45D2249030

Facility Name: TRIPPLE KARE HYDRATION & WELLNESS

Facility Address:
14000 FM 548 #140
FORNEY, TX
ZIP 75126
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Facility Phone Number: 214 853-1019

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689334609

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 45D2249030
LAB Type Physician Office
Facility Name TRIPPLE KARE HYDRATION & WELLNESS
Street 14000 FM 548 #140
City FORNEY
State TX
ZIP 75126
Phone 214 853-1019
CertificateType 4
CertificateEffectiveDate 1/18/2024
CertificateExpirationDate 1/17/2026
FacilityType Waiver

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