45D2285469 CLIA NUMBER - TEXAS TREATMENT SERVICES, LLC

Laboratory Demographics

CLIA Number: 45D2285469

Facility Name: TEXAS TREATMENT SERVICES, LLC

Facility Address:
621 LONDONDERRY LANE
DENTON, TX
ZIP 76205
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Facility Phone Number: 940 483-0644

Facility Type: Other - OTP-MAT OUTPATIENTPROGRAM

Certificate Type: Waiver

NPI Number: 1891331179

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	45D2285469
LAB Type	Other - OTP-MAT OUTPATIENTPROGRAM
Facility Name	TEXAS TREATMENT SERVICES, LLC
Street	621 LONDONDERRY LANE
City	DENTON
State	TX
ZIP	76205
Phone	940 483-0644
CertificateType	4
CertificateEffectiveDate	7/12/2023
CertificateExpirationDate	7/11/2025
FacilityType	Waiver

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