45D2272809 CLIA NUMBER - CITRA URGENT CARE WEST MOCKINGBIRD, LLC

Laboratory Demographics

CLIA Number: 45D2272809

Facility Name: CITRA URGENT CARE WEST MOCKINGBIRD, LLC

Facility Address:
2339 W MOCKINGBIRD LN SUITE 100
DALLAS, TX
ZIP 75235
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Facility Phone Number: 469 945-7290

Facility Type: Other - URGENT CARE CENTER

Certificate Type: Accreditation

NPI Number: 1124736442

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2272809
LAB Type	Other - URGENT CARE CENTER
Facility Name	CITRA URGENT CARE WEST MOCKINGBIRD, LLC
Street	2339 W MOCKINGBIRD LN SUITE 100
City	DALLAS
State	TX
ZIP	75235
Phone	469 945-7290
CertificateType	1
CertificateEffectiveDate	10/10/2023
CertificateExpirationDate	10/9/2025
FacilityType	Accreditation

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