45D1023162 CLIA NUMBER - PREMIER WELLNESS CLINICS

Laboratory Demographics

  • CLIA Code: 45D1023162
  • Facility Name: PREMIER WELLNESS CLINICS
  • Facility Address: 2601 LTTLE ELM PKWY UNIT 1204
    LITTLE ELM, TX
    ZIP 75068
  • Facility Phone: 972 292-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHALIDA YASMIN
  • NPI Number: 1891349262
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1023162
LAB Type Physician Office
Facility Name PREMIER WELLNESS CLINICS
Street 2601 LTTLE ELM PKWY UNIT 1204
City LITTLE ELM
State TX
ZIP 75068
Phone 972 292-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Physician Office
Lab Director KHALIDA YASMIN

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