45D1089152 CLIA NUMBER - WELLMED AT BEN WHITE

Laboratory Demographics

  • CLIA Code: 45D1089152
  • Facility Name: WELLMED AT BEN WHITE
  • Facility Address: 4715 S LAMAR BLVD SUITE 100
    SUNSET VALLEY, TX
    ZIP 78745
  • Facility Phone: 512 442-1996
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEJANDRA GARZA

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CLIA Record

Field Name Field Value
CLIA Number 45D1089152
LAB Type Physician Office
Facility Name WELLMED AT BEN WHITE
Street 4715 S LAMAR BLVD SUITE 100
City SUNSET VALLEY
State TX
ZIP 78745
Phone 512 442-1996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director ALEJANDRA GARZA

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This page was last updated on: 6/4/2025