45D2299412 CLIA NUMBER - WESLEY G WILSON DO, PA

Laboratory Demographics

  • CLIA Code: 45D2299412
  • Facility Name: WESLEY G WILSON DO, PA
  • Facility Address: 605 EAST BROAD
    FORNEY, TX
    ZIP 75126
  • Facility Phone: 469 720-4490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WESLEY G. WILSON
  • NPI Number: 1447256128
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2299412
LAB Type Physician Office
Facility Name WESLEY G WILSON DO, PA
Street 605 EAST BROAD
City FORNEY
State TX
ZIP 75126
Phone 469 720-4490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Physician Office
Lab Director WESLEY G. WILSON

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