45D2259151 CLIA NUMBER - BUFFALO CREEK

Laboratory Demographics

  • CLIA Code: 45D2259151
  • Facility Name: BUFFALO CREEK
  • Facility Address: 1329 BROWN ST
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 972 937-5999
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMANDA MATA
  • NPI Number: 1184189458
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2259151
LAB Type Assisted Living Facility
Facility Name BUFFALO CREEK
Street 1329 BROWN ST
City WAXAHACHIE
State TX
ZIP 75165
Phone 972 937-5999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Assisted Living Facility
Lab Director AMANDA MATA

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This page was last updated on: 9/29/2025