45D2290886 CLIA NUMBER - LEWISVILLE WOUND CARE AND HYPERBARIC CENTER

Laboratory Demographics

CLIA Number: 45D2290886

Facility Name: LEWISVILLE WOUND CARE AND HYPERBARIC CENTER

Facility Address:
401 N VALLEY PARKWAY SUITE 380
LEWISVILLE, TX
ZIP 75067
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Facility Phone Number: 469 904-6428

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316102783

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	45D2290886
LAB Type	Physician Office
Facility Name	LEWISVILLE WOUND CARE AND HYPERBARIC CENTER
Street	401 N VALLEY PARKWAY SUITE 380
City	LEWISVILLE
State	TX
ZIP	75067
Phone	469 904-6428
CertificateType	4
CertificateEffectiveDate	10/3/2023
CertificateExpirationDate	10/2/2025
FacilityType	Waiver

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