45D1003823 CLIA NUMBER - LONGVIEW WELLNESS CENTER-WIC

Laboratory Demographics

  • CLIA Code: 45D1003823
  • Facility Name: LONGVIEW WELLNESS CENTER-WIC
  • Facility Address: 2430 S HIGH STREET, STE C-3
    LONGVIEW, TX
    ZIP 75602
  • Facility Phone: 903 758-2610
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ANNETTE OKPEKI
  • NPI Number: 1699897330
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D1003823
LAB Type Community Clinic
Facility Name LONGVIEW WELLNESS CENTER-WIC
Street 2430 S HIGH STREET, STE C-3
City LONGVIEW
State TX
ZIP 75602
Phone 903 758-2610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Community Clinic
Lab Director ANNETTE OKPEKI

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