CLIA lab
CLIA 45D0484829: Ccpn - Lake Worth
Lake Worth, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D0484829 belongs to Ccpn - Lake Worth in Lake Worth, TX.
Certificate of Waiver, effective March 14, 2025, expires March 13, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 14, 2025
- Certificate expiration
- March 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 1993
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D0484829
- Lab name
- Ccpn - Lake Worth
- Address
- 3900 Boat Club Road, Lake Worth, TX 76135
- Phone
- (817) 237-7161
- Fax
- (817) 237-0966
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Worth, TX
- Albertsons Pharmacy #4150Certificate of Waiver, Pharmacy45D1032560
- CVS Pharmacy, IncCertificate of Waiver, Pharmacy45D2281442
- Lake Worth Fire DepartmentCertificate of Waiver, Ambulance45D1030404
- Lake Worth Vision SourceCertificate of Waiver, Other practitioner45D2092313
- Nobility Medical, PLLCCertificate of Waiver, Physician office45D2331542
- North Texas Addiction Counseling & Ed IncCertificate of Waiver, Other45D2133981
- Primary Health Physician, PLLCCertificate of Waiver, Other45D1093853
- Texas Health Heart & Vascular Specialists #B21Certificate of Waiver, Physician office45D2206517
- Walmart Pharmacy 10-0972Certificate of Waiver, Pharmacy45D2101447
- Wellmed at Lake WorthCertificate of Waiver, Physician office45D0484400
Related
Questions
What is the CLIA number for Ccpn - Lake Worth in Lake Worth?
45D0484829, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ccpn - Lake Worth hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D0484829 expire?
The CMS file lists March 13, 2027 as the certificate expiration date; the certificate took effect March 14, 2025.