45D2204957 CLIA NUMBER - MCKENZIE FAMILY MEDICINE & MEDSPA, PLLC

Laboratory Demographics

  • CLIA Code: 45D2204957
  • Facility Name: MCKENZIE FAMILY MEDICINE & MEDSPA, PLLC
  • Facility Address: 12001 SOUTH FREEWAY SUITE 302
    BURLESON, TX
    ZIP 76028
  • Facility Phone: 817 854-2210
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: HEATHER L. MCKENZIE
  • NPI Number: 1245757046
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 45D2204957
LAB Type Community Clinic
Facility Name MCKENZIE FAMILY MEDICINE & MEDSPA, PLLC
Street 12001 SOUTH FREEWAY SUITE 302
City BURLESON
State TX
ZIP 76028
Phone 817 854-2210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Community Clinic
Lab Director HEATHER L. MCKENZIE

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