45D2296793 CLIA NUMBER - HOLISTIC NP MOBILE CLINIC

Laboratory Demographics

  • CLIA Code: 45D2296793
  • Facility Name: HOLISTIC NP MOBILE CLINIC
  • Facility Address: 1400 N COIT ROAD SUITE 302
    MCKINNEY, TX
    ZIP 75071
  • Facility Phone: 469 659-7400
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: HOWARD E. THOMPSON
  • NPI Number: 1588494124
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2296793
LAB Type Mobile Laboratory
Facility Name HOLISTIC NP MOBILE CLINIC
Street 1400 N COIT ROAD SUITE 302
City MCKINNEY
State TX
ZIP 75071
Phone 469 659-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Mobile Laboratory
Lab Director HOWARD E. THOMPSON

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