45D2159112 CLIA NUMBER - MW WELLNESS III, LLC

Laboratory Demographics

  • CLIA Code: 45D2159112
  • Facility Name: MW WELLNESS III, LLC
  • Facility Address: 3851 CORPORATE CENTER DR SUITE 117
    BRYAN, TX
    ZIP 77802
  • Facility Phone: 979 393-0369
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL D. DAWSON
  • NPI Number: 1184175531
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2159112
LAB Type Physician Office
Facility Name MW WELLNESS III, LLC
Street 3851 CORPORATE CENTER DR SUITE 117
City BRYAN
State TX
ZIP 77802
Phone 979 393-0369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director DANIEL D. DAWSON

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