45D2299737 CLIA NUMBER - WELLNESS FIRST URGENT CARE

Laboratory Demographics

CLIA Number: 45D2299737

Facility Name: WELLNESS FIRST URGENT CARE

Facility Address:
310 S CLARK RD, SUITE D
DUNCANVILLE, TX
ZIP 75116
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Facility Phone Number: 817 948-4191

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1689455032

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2299737
LAB Type	Practitioner Other
Facility Name	WELLNESS FIRST URGENT CARE
Street	310 S CLARK RD, SUITE D
City	DUNCANVILLE
State	TX
ZIP	75116
Phone	817 948-4191
CertificateType	4
CertificateEffectiveDate	2/26/2024
CertificateExpirationDate	2/25/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024