45D2299151 CLIA NUMBER - TRANQUILITY HYDRATION WELLNESS AESTHETICS

Laboratory Demographics

  • CLIA Code: 45D2299151
  • Facility Name: TRANQUILITY HYDRATION WELLNESS AESTHETICS
  • Facility Address: 218 N WALNUT CREEK DRIVE
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 682 267-3600
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SADE C. BRISCOE
  • NPI Number: 1093421794
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2299151
LAB Type Practitioner Other
Facility Name TRANQUILITY HYDRATION WELLNESS AESTHETICS
Street 218 N WALNUT CREEK DRIVE
City MANSFIELD
State TX
ZIP 76063
Phone 682 267-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Practitioner Other
Lab Director SADE C. BRISCOE

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