45D2254568 CLIA NUMBER - GALLUS DETOX DALLAS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2254568
  • Facility Name: GALLUS DETOX DALLAS, PLLC
  • Facility Address: 1776 US 287 FRONTAGE RD SUITE 250
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: (928) 533-0872
  • Facility Type: Other - INPATIENT DETOX CLINIC
  • Facility Type: Waiver
  • Lab Director: JERI LAWRENCE
  • NPI Number: 1073284402
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2254568
LAB Type Other - INPATIENT DETOX CLINIC
Facility Name GALLUS DETOX DALLAS, PLLC
Street 1776 US 287 FRONTAGE RD SUITE 250
City MANSFIELD
State TX
ZIP 76063
Phone 9285330872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2026
Certificate Expiration Date 3/3/2028
Facility Type Other - INPATIENT DETOX CLINIC
Lab Director JERI LAWRENCE

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This page was last updated on: 5/18/2026