45D2325563 CLIA NUMBER - RESIDUAL HEALTH

Laboratory Demographics

  • CLIA Code: 45D2325563
  • Facility Name: RESIDUAL HEALTH
  • Facility Address: 1106 N HWY 360 STE 300
    GRAND PRAIRIE, TX
    ZIP 75050
  • Facility Phone: 682 323-7661
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: RENADJA S. TAYLOR
  • NPI Number: 1700695574
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2325563
LAB Type Independent
Facility Name RESIDUAL HEALTH
Street 1106 N HWY 360 STE 300
City GRAND PRAIRIE
State TX
ZIP 75050
Phone 682 323-7661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Independent
Lab Director RENADJA S. TAYLOR

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