CLIA lab
CLIA 45D0903162: Michael J Polski MD PA
Burleson, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D0903162 belongs to Michael J Polski MD PA in Burleson, TX.
Certificate for Provider-Performed Microscopy Procedures, effective July 13, 2025, expires July 12, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- July 13, 2025
- Certificate expiration
- July 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 13, 1995
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 45D0903162
- Lab name
- Michael J Polski MD PA
- Address
- 1310 NW John Jones Dr, Burleson, TX 76028
- Phone
- (817) 297-1297
- Fax
- (817) 297-6363
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Burleson, TX
- Accesspoint DiagnosticCertificate of Waiver, Independent45D2344529
- Albertsons Pharmacy #4279Certificate of Waiver, Pharmacy45D1032743
- Ally Medical ER- BurlesonCertificate of Registration, Other45D2334258
- Any Lab Test NowCertificate of Waiver, Other45D2164335
- Avir at BurlesonCertificate of Waiver, Skilled nursing or nursing facility45D1065651
- Best Way Clinic of BurlesonCertificate of Waiver, Mobile lab45D2111671
- Biolife Plasma Services, LPCertificate of Compliance, Other45D2132488
- Burleson Health & WellnessCertificate of Waiver, Physician office45D2271419
- Burleson Modern DentistryCertificate of Waiver, Other practitioner45D2319828
- Burleson Old Town Medical CenterCertificate of Waiver, Physician office45D1057143
Related
Questions
What is the CLIA number for Michael J Polski MD PA in Burleson?
45D0903162, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Michael J Polski MD PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 45D0903162 expire?
The CMS file lists July 12, 2027 as the certificate expiration date; the certificate took effect July 13, 2025.