45D2313388 CLIA NUMBER - LONGVIEW WELLNESS CENTER INC

Laboratory Demographics

  • CLIA Code: 45D2313388
  • Facility Name: LONGVIEW WELLNESS CENTER INC
  • Facility Address: 1011 S MOBBERLY AVE
    LONGVIEW, TX
    ZIP 75602
  • Facility Phone: 903 758-2610
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ANNETTE OKPEKI
  • NPI Number: 1023426665
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2313388
LAB Type Federally Qualified Health Center
Facility Name LONGVIEW WELLNESS CENTER INC
Street 1011 S MOBBERLY AVE
City LONGVIEW
State TX
ZIP 75602
Phone 903 758-2610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Federally Qualified Health Center
Lab Director ANNETTE OKPEKI

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