CLIA lab

CLIA 45D2119642: Modern Male T Clinic

The Colony, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D2119642 belongs to Modern Male T Clinic in The Colony, TX.

Certificate of Compliance, effective September 16, 2024, expires October 31, 2026.

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 Compliance
Certificate effective
September 16, 2024
Certificate expiration
October 31, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 30, 2016
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D2119642
Lab name
Modern Male T Clinic
Address
4815 Sh 121 #5, The Colony, TX 75056
Phone
(972) 865-6356
Fax
(214) 324-9407

Annual test volume the lab reported

Other nonwaived tests
2,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in The Colony, TX

Related

Questions

What is the CLIA number for Modern Male T Clinic in The Colony?

45D2119642, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Modern Male T Clinic hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 45D2119642 expire?

The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect September 16, 2024.

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