CLIA lab
CLIA 45D1057143: Burleson Old Town Medical Center
Burleson, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1057143 belongs to Burleson Old Town Medical Center in Burleson, TX.
Certificate of Waiver, effective April 17, 2025, expires April 16, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 17, 2025
- Certificate expiration
- April 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 3, 2006
- 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
- 45D1057143
- Lab name
- Burleson Old Town Medical Center
- Address
- 309 NW Renfro St Suite 201, Burleson, TX 76028
- Phone
- (817) 295-3100
- Fax
- (817) 295-3158
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Burleson Old Town Medical Center in Burleson?
45D1057143, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Burleson Old Town Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D1057143 expire?
The CMS file lists April 16, 2027 as the certificate expiration date; the certificate took effect April 17, 2025.