45D0934667 CLIA NUMBER - WELLMED AT RICHARDSON

Laboratory Demographics

  • CLIA Code: 45D0934667
  • Facility Name: WELLMED AT RICHARDSON
  • Facility Address: 819 W ARAPAHO ROAD SUITE 14
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 214 346-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JYOTHI REREDDY
  • NPI Number: 1811900111
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0934667
LAB Type Physician Office
Facility Name WELLMED AT RICHARDSON
Street 819 W ARAPAHO ROAD SUITE 14
City RICHARDSON
State TX
ZIP 75080
Phone 214 346-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director JYOTHI REREDDY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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