45D0711615 CLIA NUMBER - WELLMED AT DUNCANVILLE

Laboratory Demographics

  • CLIA Code: 45D0711615
  • Facility Name: WELLMED AT DUNCANVILLE
  • Facility Address: 548 E WHEATLAND RD
    DUNCANVILLE, TX
    ZIP 75137
  • Facility Phone: 972 296-2985
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAWN GONZALEZ
  • NPI Number: 1952318750
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0711615
LAB Type Physician Office
Facility Name WELLMED AT DUNCANVILLE
Street 548 E WHEATLAND RD
City DUNCANVILLE
State TX
ZIP 75137
Phone 972 296-2985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DAWN GONZALEZ

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