45D0977352 CLIA NUMBER - WELLMED AT MANSFIELD

Laboratory Demographics

  • CLIA Code: 45D0977352
  • Facility Name: WELLMED AT MANSFIELD
  • Facility Address: 1465 N US HWY 287
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 817 473-1151
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON VARGHESE
  • NPI Number: 1457673287
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 45D0977352
LAB Type Physician Office
Facility Name WELLMED AT MANSFIELD
Street 1465 N US HWY 287
City MANSFIELD
State TX
ZIP 76063
Phone 817 473-1151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Physician Office
Lab Director JASON VARGHESE

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