CLIA lab
CLIA 45D2058920: Dynamic Life Health Center
Southlake, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2058920 belongs to Dynamic Life Health Center in Southlake, TX.
Certificate of Waiver, effective May 14, 2025, expires May 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 14, 2025
- Certificate expiration
- May 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 14, 2013
- 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
- 45D2058920
- Lab name
- Dynamic Life Health Center
- Address
- 190 S Peytonville Road, Suite 110, Southlake, TX 76092
- Phone
- (817) 912-1600
- Fax
- (817) 912-1603
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Southlake, TX
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- Advanced Allergy & Asthma AssociatesCertificate of Waiver, Physician office45D2179463
- Alpha Men's HealthCertificate of Compliance, Other practitioner45D2295244
- Arbor PediatricsCertificate of Waiver, Physician office45D2206557
- Arise Recovery Centers SouthlakeCertificate of Waiver, Other45D2153375
- Atlantis Men's Health, PLLC DBA Elixir 360 HealthCertificate of Waiver, Physician office45D2330423
- Axis Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center45D2211344
- BSW Southlake PediatricsCertificate of Waiver, Physician office45D2328211
- BSW Southlake Urgent CareCertificate of Waiver, Other45D2251077
- Baylor Scott & White Southlake Family MedicineCertificate of Waiver, Physician office45D0916018
Related
Questions
What is the CLIA number for Dynamic Life Health Center in Southlake?
45D2058920, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dynamic Life Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2058920 expire?
The CMS file lists May 13, 2027 as the certificate expiration date; the certificate took effect May 14, 2025.