45D2296373 CLIA NUMBER - THE HEALED MIND LLC

Laboratory Demographics

  • CLIA Code: 45D2296373
  • Facility Name: THE HEALED MIND LLC
  • Facility Address: 703 S HWY 377
    AUBREY, TX
    ZIP 76227
  • Facility Phone: 972 483-5380
  • Facility Type: Other - MENTAL HLTH OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: PRINCESS RILEY
  • NPI Number: 1417686973
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2296373
LAB Type Other - MENTAL HLTH OUTPATIENT
Facility Name THE HEALED MIND LLC
Street 703 S HWY 377
City AUBREY
State TX
ZIP 76227
Phone 972 483-5380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Other - MENTAL HLTH OUTPATIENT
Lab Director PRINCESS RILEY

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