45D2263076 CLIA NUMBER - WHITE ROCK MEDICAL GROUP

Laboratory Demographics

CLIA Number: 45D2263076

Facility Name: WHITE ROCK MEDICAL GROUP

Facility Address:
6333 E MOCKINGBIRD LN SUITE 126
DALLAS, TX
ZIP 75218
Get Directions

Facility Phone Number: 214 324-6100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083112023

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	45D2263076
LAB Type	Physician Office
Facility Name	WHITE ROCK MEDICAL GROUP
Street	6333 E MOCKINGBIRD LN SUITE 126
City	DALLAS
State	TX
ZIP	75218
Phone	214 324-6100
CertificateType	4
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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