45D2188411 CLIA NUMBER - DESIRE TO LIVE NOW LLC

Laboratory Demographics

  • CLIA Code: 45D2188411
  • Facility Name: DESIRE TO LIVE NOW LLC
  • Facility Address: 790 GENERATIONS DRIVE, STE 210
    NEW BRAUNFELS, TX
    ZIP 78130
  • Facility Phone: 512 643-3631
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TRACEY S. MIXON
  • NPI Number: 1417570003
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2188411
LAB Type Practitioner Other
Facility Name DESIRE TO LIVE NOW LLC
Street 790 GENERATIONS DRIVE, STE 210
City NEW BRAUNFELS
State TX
ZIP 78130
Phone 512 643-3631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Practitioner Other
Lab Director TRACEY S. MIXON

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