45D2239396 CLIA NUMBER - ROCKWALL COLONICS & WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 45D2239396
  • Facility Name: ROCKWALL COLONICS & WELLNESS CENTER
  • Facility Address: 2455 RIDGE RD SUITE 151
    ROCKWALL, TX
    ZIP 75087
  • Facility Phone: 972 771-8900
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANA LOGWOOD
  • NPI Number: 1285021451
  • Taxonomy: 1223X0400X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2239396
LAB Type Practitioner Other
Facility Name ROCKWALL COLONICS & WELLNESS CENTER
Street 2455 RIDGE RD SUITE 151
City ROCKWALL
State TX
ZIP 75087
Phone 972 771-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Practitioner Other
Lab Director DANA LOGWOOD

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