45D2230241 CLIA NUMBER - MINDFUL PRIMARY & PSYCH CARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2230241
  • Facility Name: MINDFUL PRIMARY & PSYCH CARE, PLLC
  • Facility Address: 2300 S. CLEAR CREEK RD. SUITE 205
    KILLEEN, TX
    ZIP 76549
  • Facility Phone: 254 295-7311
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SERESEA R. MITCHELL-SMITH
  • NPI Number: 1811563497
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2230241
LAB Type Practitioner Other
Facility Name MINDFUL PRIMARY & PSYCH CARE, PLLC
Street 2300 S. CLEAR CREEK RD. SUITE 205
City KILLEEN
State TX
ZIP 76549
Phone 254 295-7311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Practitioner Other
Lab Director SERESEA R. MITCHELL-SMITH

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