45D2152401 CLIA NUMBER - KEY T WELLNESS

Laboratory Demographics

  • CLIA Code: 45D2152401
  • Facility Name: KEY T WELLNESS
  • Facility Address: 1621 FM 517 RD E
    DICKINSON, TX
    ZIP 77539
  • Facility Phone: 833 539-8123
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JAMES JACKSON
  • NPI Number: 1528556370
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2152401
LAB Type Physician Office
Facility Name KEY T WELLNESS
Street 1621 FM 517 RD E
City DICKINSON
State TX
ZIP 77539
Phone 833 539-8123
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director DR. JAMES JACKSON

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