45D2176891 CLIA NUMBER - LONGVIEW WELLNESS CENTER, INC

Laboratory Demographics

  • CLIA Code: 45D2176891
  • Facility Name: LONGVIEW WELLNESS CENTER, INC
  • Facility Address: 2015 MULBERRY AVE, STE 250
    MT PLEASANT, TX
    ZIP 75455
  • Facility Phone: 903 572-4664
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: CHRISTOPHER MASON
  • NPI Number: 1710515630
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2176891
LAB Type Federally Qualified Health Center
Facility Name LONGVIEW WELLNESS CENTER, INC
Street 2015 MULBERRY AVE, STE 250
City MT PLEASANT
State TX
ZIP 75455
Phone 903 572-4664
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Federally Qualified Health Center
Lab Director CHRISTOPHER MASON

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