CLIA lab
CLIA 45D2210554: Life Line Technologies, LLC DBA Xstrememd
Mentone, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2210554 belongs to Life Line Technologies, LLC DBA Xstrememd in Mentone, TX.
Certificate of Waiver, effective January 22, 2025, expires January 21, 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
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2021
- Facility type
- Industrial
- 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
- 45D2210554
- Lab name
- Life Line Technologies, LLC DBA Xstrememd
- Address
- 248 County Road 407, Mentone, TX 79754
- Phone
- (337) 704-0891
- Fax
- (337) 704-0924
Annual test volume the lab reported
- Waived tests
- 1,000
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 Life Line Technologies, LLC DBA Xstrememd in Mentone?
45D2210554, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Life Line Technologies, LLC DBA Xstrememd hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2210554 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.