CLIA lab

CLIA 45D2235736: Vine Family Medicine

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

CLIA number 45D2235736 belongs to Vine Family Medicine in Keller, TX.

Certificate of Waiver, effective September 10, 2025, expires September 9, 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
September 10, 2025
Certificate expiration
September 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 10, 2021
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
45D2235736
Lab name
Vine Family Medicine
Address
420 Johnson Rd Suite 304, Keller, TX 76248
Phone
(817) 710-3040
Fax
(989) 200-4650

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.

Other labs in Keller, TX

Related

Questions

What is the CLIA number for Vine Family Medicine in Keller?

45D2235736, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Vine Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2235736 expire?

The CMS file lists September 9, 2027 as the certificate expiration date; the certificate took effect September 10, 2025.

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