45D2188416 CLIA NUMBER - JM WELLNESS & AESTHETICS

Laboratory Demographics

  • CLIA Code: 45D2188416
  • Facility Name: JM WELLNESS & AESTHETICS
  • Facility Address: 821 SW ALSBURY BLVD SUITE E
    BURLESON, TX
    ZIP 76028
  • Facility Phone: 817 439-9081
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MISTY R. STASNEY
  • NPI Number: 1730921883
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2188416
LAB Type Physician Office
Facility Name JM WELLNESS & AESTHETICS
Street 821 SW ALSBURY BLVD SUITE E
City BURLESON
State TX
ZIP 76028
Phone 817 439-9081
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 Physician Office
Lab Director MISTY R. STASNEY

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