45D2290808 CLIA NUMBER - ADONAI M&S LLC

Laboratory Demographics

  • CLIA Code: 45D2290808
  • Facility Name: ADONAI M&S LLC
  • Facility Address: 2504 RIO GRANDE DRIVE
    GRAND PRAIRIE, TX
    ZIP 75052
  • Facility Phone: 214 717-0272
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MIRANDA KWANE
  • NPI Number: 1518673128
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2290808
LAB Type Home Health Agency
Facility Name ADONAI M&S LLC
Street 2504 RIO GRANDE DRIVE
City GRAND PRAIRIE
State TX
ZIP 75052
Phone 214 717-0272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Home Health Agency
Lab Director MIRANDA KWANE

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