45D0675617 CLIA NUMBER - BAYLOR SCOTT & WHITE COLLEYVILLE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 45D0675617
  • Facility Name: BAYLOR SCOTT & WHITE COLLEYVILLE FAMILY MEDICINE
  • Facility Address: 5232 COLLEYVILLE BLVD SUITE 100
    COLLEYVILLE, TX
    ZIP 76034
  • Facility Phone: 817 498-9920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS M. BELL
  • NPI Number: 1043641749
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D0675617
LAB Type Physician Office
Facility Name BAYLOR SCOTT & WHITE COLLEYVILLE FAMILY MEDICINE
Street 5232 COLLEYVILLE BLVD SUITE 100
City COLLEYVILLE
State TX
ZIP 76034
Phone 817 498-9920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director DENNIS M. BELL

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