45D2288220 CLIA NUMBER - SOUTHWEST MIND AND BODY CARE

Laboratory Demographics

  • CLIA Code: 45D2288220
  • Facility Name: SOUTHWEST MIND AND BODY CARE
  • Facility Address: 8989 HARRY HINES BLVD
    DALLAS, TX
    ZIP 75235
  • Facility Phone: 469 860-6022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA KEMP
  • NPI Number: 1952633729
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2288220
LAB Type Physician Office
Facility Name SOUTHWEST MIND AND BODY CARE
Street 8989 HARRY HINES BLVD
City DALLAS
State TX
ZIP 75235
Phone 469 860-6022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director ANGELA KEMP

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