45D2307503 CLIA NUMBER - THE FORUM AT PARK LANE

Laboratory Demographics

  • CLIA Code: 45D2307503
  • Facility Name: THE FORUM AT PARK LANE
  • Facility Address: 7831 PARK LANE
    DALLAS, TX
    ZIP 75225
  • Facility Phone: 469 571-5839
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SONIA Y. NIX
  • NPI Number: 1164079273
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2307503
LAB Type Assisted Living Facility
Facility Name THE FORUM AT PARK LANE
Street 7831 PARK LANE
City DALLAS
State TX
ZIP 75225
Phone 469 571-5839
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Assisted Living Facility
Lab Director SONIA Y. NIX

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This page was last updated on: 3/20/2025