45D2314230 CLIA NUMBER - FAIRBRANCH HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 45D2314230
  • Facility Name: FAIRBRANCH HEALTH SERVICES LLC
  • Facility Address: 300 E DAVIS ST SUITE 122
    MCKINNEY, TX
    ZIP 75069
  • Facility Phone: 972 369-7394
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DUROSINMI AYOBAMI
  • NPI Number: 1295446631
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 45D2314230
LAB Type Hospice
Facility Name FAIRBRANCH HEALTH SERVICES LLC
Street 300 E DAVIS ST SUITE 122
City MCKINNEY
State TX
ZIP 75069
Phone 972 369-7394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Hospice
Lab Director DUROSINMI AYOBAMI

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