45D2308040 CLIA NUMBER - INICIO WELLNESS PLLC

Laboratory Demographics

  • CLIA Code: 45D2308040
  • Facility Name: INICIO WELLNESS PLLC
  • Facility Address: 550 S WATTERS RD STE 142
    ALLEN, TX
    ZIP 75013
  • Facility Phone: 214 888-6656
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRITTANY E. DELANEY
  • NPI Number: 1588367437
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2308040
LAB Type Physician Office
Facility Name INICIO WELLNESS PLLC
Street 550 S WATTERS RD STE 142
City ALLEN
State TX
ZIP 75013
Phone 214 888-6656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director BRITTANY E. DELANEY

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