45D2257762 CLIA NUMBER - BEYOND WELLNESS TOTAL CARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2257762
  • Facility Name: BEYOND WELLNESS TOTAL CARE, PLLC
  • Facility Address: 450 HAWKINS RUN STE 4
    MIDLOTHIAN, TX
    ZIP 76065
  • Facility Phone: 972 694-7899
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BRITTANY HAFER
  • NPI Number: 1568046175
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2257762
LAB Type Practitioner Other
Facility Name BEYOND WELLNESS TOTAL CARE, PLLC
Street 450 HAWKINS RUN STE 4
City MIDLOTHIAN
State TX
ZIP 76065
Phone 972 694-7899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Practitioner Other
Lab Director BRITTANY HAFER

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