45D2310950 CLIA NUMBER - SPARTA WELLNESS CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 45D2310950
  • Facility Name: SPARTA WELLNESS CLINIC, PLLC
  • Facility Address: 2990 STATE HIGHWAY 66
    CADDO MILLS, TX
    ZIP 75135
  • Facility Phone: 972 533-8556
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NAOMI KRAMER
  • NPI Number: 1154157329
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2310950
LAB Type Practitioner Other
Facility Name SPARTA WELLNESS CLINIC, PLLC
Street 2990 STATE HIGHWAY 66
City CADDO MILLS
State TX
ZIP 75135
Phone 972 533-8556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Practitioner Other
Lab Director NAOMI KRAMER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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