45D2099984 CLIA NUMBER - FAMILY HEALTH & WELLNESS OF PLANO

Laboratory Demographics

  • CLIA Code: 45D2099984
  • Facility Name: FAMILY HEALTH & WELLNESS OF PLANO
  • Facility Address: 5148 VILLAGE CREEK DRIVE, SUITE 300
    PLANO, TX
    ZIP 75093
  • Facility Phone: 469 661-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUSSELL B. SKINNER
  • NPI Number: 1669849485
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2099984
LAB Type Physician Office
Facility Name FAMILY HEALTH & WELLNESS OF PLANO
Street 5148 VILLAGE CREEK DRIVE, SUITE 300
City PLANO
State TX
ZIP 75093
Phone 469 661-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Physician Office
Lab Director RUSSELL B. SKINNER

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