45D2259303 CLIA NUMBER - BRC OUTPATIENT SERVICES

Laboratory Demographics

CLIA Number: 45D2259303

Facility Name: BRC OUTPATIENT SERVICES

Facility Address:
11502 PARSONS RD
MANOR, TX
ZIP 78653
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Facility Phone Number: 512 278-4944

Facility Type: Other - CDTF

Certificate Type: Waiver

NPI Number: 1366838005

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	45D2259303
LAB Type	Other - CDTF
Facility Name	BRC OUTPATIENT SERVICES
Street	11502 PARSONS RD
City	MANOR
State	TX
ZIP	78653
Phone	512 278-4944
CertificateType	4
CertificateEffectiveDate	5/4/2022
CertificateExpirationDate	5/3/2024
FacilityType	Waiver

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