45D2324097 CLIA NUMBER - MAPLES NORTH TEXAS

Laboratory Demographics

  • CLIA Code: 45D2324097
  • Facility Name: MAPLES NORTH TEXAS
  • Facility Address: 10805 W CLEBURNE ROAD
    CROWLEY, TX
    ZIP 76036
  • Facility Phone: 225 955-6935
  • Facility Type: Other - RESIDENTIAL TREATMENT CTR
  • Facility Type: Waiver
  • Lab Director: CHALEE RIVERS
  • NPI Number: 1265249619
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2324097
LAB Type Other - RESIDENTIAL TREATMENT CTR
Facility Name MAPLES NORTH TEXAS
Street 10805 W CLEBURNE ROAD
City CROWLEY
State TX
ZIP 76036
Phone 225 955-6935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Other - RESIDENTIAL TREATMENT CTR
Lab Director CHALEE RIVERS

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