45D2315650 CLIA NUMBER - KAISER MEDICAL PARTNERS LLC

Laboratory Demographics

  • CLIA Code: 45D2315650
  • Facility Name: KAISER MEDICAL PARTNERS LLC
  • Facility Address: 3939 US HWY 80 SUITE 236F
    MESQUITE, TX
    ZIP 75150
  • Facility Phone: 214 587-6482
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ASHLEY SURATT
  • NPI Number: 1770307274
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2315650
LAB Type Home Health Agency
Facility Name KAISER MEDICAL PARTNERS LLC
Street 3939 US HWY 80 SUITE 236F
City MESQUITE
State TX
ZIP 75150
Phone 214 587-6482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Home Health Agency
Lab Director ASHLEY SURATT

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This page was last updated on: 6/4/2025