45D2170702 CLIA NUMBER - TOTAL HEALTH AND WELLNESS

Laboratory Demographics

CLIA Number: 45D2170702

Facility Name: TOTAL HEALTH AND WELLNESS

Facility Address:
6435 SOUTH FM 549, STE 201A
HEATH, TX
ZIP 75032
Get Directions

Facility Phone Number: 972 722-5555

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1689211971

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	45D2170702
LAB Type	Practitioner Other
Facility Name	TOTAL HEALTH AND WELLNESS
Street	6435 SOUTH FM 549, STE 201A
City	HEATH
State	TX
ZIP	75032
Phone	972 722-5555
CertificateType	4
CertificateEffectiveDate	8/16/2023
CertificateExpirationDate	8/15/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024