45D1040023 CLIA NUMBER - HEALTHWISE CLINIC PA

Laboratory Demographics

  • CLIA Code: 45D1040023
  • Facility Name: HEALTHWISE CLINIC PA
  • Facility Address: 2301 SOUTH FM 51, SUITE 500
    DECATUR, TX
    ZIP 76234
  • Facility Phone: 940 627-0013
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN W. RICHARDSON MD

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CLIA Record

Field Name Field Value
CLIA Number 45D1040023
LAB Type Physician Office
Facility Name HEALTHWISE CLINIC PA
Street 2301 SOUTH FM 51, SUITE 500
City DECATUR
State TX
ZIP 76234
Phone 940 627-0013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2023
Certificate Expiration Date 4/26/2025
Facility Type Physician Office
Lab Director JOHN W. RICHARDSON MD

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This page was last updated on: 3/20/2025