CLIA lab
CLIA 45D2165989: Southlake Gynand Wellness
Grapevine, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2165989 belongs to Southlake Gynand Wellness in Grapevine, TX.
Certificate of Waiver, effective May 9, 2025, expires May 8, 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 9, 2025
- Certificate expiration
- May 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 9, 2019
- 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
- 45D2165989
- Lab name
- Southlake Gynand Wellness
- Address
- 220 N Park Blvd Suite 100, Grapevine, TX 76051
- Phone
- (817) 280-9616
- Fax
- (817) 722-6328
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Grapevine, TX
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- Baylor Scott & White -CardiovascularCertificate of Waiver, Physician office45D0985168
- Baylor Scott & White Medical Center- GrapevineCertificate of Accreditation, Hospital45D0677423
- Baylor Scott & White OB GYN Grapevine IICertificate of Waiver, Physician office45D2345250
- Baylor Scott & White Obstetrics & GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office45D2076468
- Baylor Scott & White Pain Management CenterCertificate of Waiver, Other45D1029707
- Baylor Scott & White Texas UrogynecologyCertificate of Waiver, Physician office45D2021088
- Baylor Scott and White Medical Center atCertificate of Waiver, Health fair45D2140984
Related
Questions
What is the CLIA number for Southlake Gynand Wellness in Grapevine?
45D2165989, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southlake Gynand Wellness hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2165989 expire?
The CMS file lists May 8, 2027 as the certificate expiration date; the certificate took effect May 9, 2025.