45D2074081 CLIA NUMBER - COMPLETE WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 45D2074081
  • Facility Name: COMPLETE WELLNESS CLINIC
  • Facility Address: 161 COLLEGE PARK DRIVE
    WEATHERFORD, TX
    ZIP 76086
  • Facility Phone: 817 550-6057
  • Facility Type: Other - DRAW STATION
  • Facility Type: Waiver
  • Lab Director: LESLIE P. BAKER
  • NPI Number: 1023239027
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 45D2074081
LAB Type Other - DRAW STATION
Facility Name COMPLETE WELLNESS CLINIC
Street 161 COLLEGE PARK DRIVE
City WEATHERFORD
State TX
ZIP 76086
Phone 817 550-6057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Other - DRAW STATION
Lab Director LESLIE P. BAKER

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