45D2316742 CLIA NUMBER - WATERS OF WELLNESS FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2316742
  • Facility Name: WATERS OF WELLNESS FAMILY MEDICINE
  • Facility Address: 8714 SPRING CYPRESS ROAD SUITE 170
    SPRING, TX
    ZIP 77379
  • Facility Phone: 346 808-7084
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEATHER MCCRACKIN
  • NPI Number: 1104642511
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2316742
LAB Type Physician Office
Facility Name WATERS OF WELLNESS FAMILY MEDICINE
Street 8714 SPRING CYPRESS ROAD SUITE 170
City SPRING
State TX
ZIP 77379
Phone 346 808-7084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director HEATHER MCCRACKIN

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