45D1092571 CLIA NUMBER - ENVISION IMAGING AT HUNTERS ROW

Laboratory Demographics

  • CLIA Code: 45D1092571
  • Facility Name: ENVISION IMAGING AT HUNTERS ROW
  • Facility Address: 710 HUNTERS ROW CT
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 817 453-7444
  • Facility Type: Other - OUTPATIENT DIAG IMAGING
  • Facility Type: Waiver
  • Lab Director: BRITTANY ESPINOSA
  • NPI Number: 1093045072
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D1092571
LAB Type Other - OUTPATIENT DIAG IMAGING
Facility Name ENVISION IMAGING AT HUNTERS ROW
Street 710 HUNTERS ROW CT
City MANSFIELD
State TX
ZIP 76063
Phone 817 453-7444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Other - OUTPATIENT DIAG IMAGING
Lab Director BRITTANY ESPINOSA

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