45D2265925 CLIA NUMBER - BE WELL CLINICAL STUDIES

Laboratory Demographics

  • CLIA Code: 45D2265925
  • Facility Name: BE WELL CLINICAL STUDIES
  • Facility Address: 16040 PARK VALLEY DRIVE STE 222A
    ROUND ROCK, TX
    ZIP 78681
  • Facility Phone: 402 937-9392
  • Facility Type: Other - PHARM TESTING CLINIC
  • Facility Type: Waiver
  • Lab Director: MARK CARLSON
  • NPI Number: 1780128140
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2265925
LAB Type Other - PHARM TESTING CLINIC
Facility Name BE WELL CLINICAL STUDIES
Street 16040 PARK VALLEY DRIVE STE 222A
City ROUND ROCK
State TX
ZIP 78681
Phone 402 937-9392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Other - PHARM TESTING CLINIC
Lab Director MARK CARLSON

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