45D2314299 CLIA NUMBER - MAKE YOU WELL PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 45D2314299
  • Facility Name: MAKE YOU WELL PRIMARY CARE PLLC
  • Facility Address: 4011 E. RENNER ROAD SUITE 110
    RICHARDSON, TX
    ZIP 75082
  • Facility Phone: 972 234-3299
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TEODORA LIVENGOOD
  • NPI Number: 1437980901
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2314299
LAB Type Physician Office
Facility Name MAKE YOU WELL PRIMARY CARE PLLC
Street 4011 E. RENNER ROAD SUITE 110
City RICHARDSON
State TX
ZIP 75082
Phone 972 234-3299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director TEODORA LIVENGOOD

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