CLIA lab
CLIA 45D2292383: Healthy Self DPC, PLLC
Willis, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2292383 belongs to Healthy Self DPC, PLLC in Willis, TX.
Certificate of Waiver, effective October 25, 2025, expires October 24, 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
- October 25, 2025
- Certificate expiration
- October 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 25, 2023
- 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
- 45D2292383
- Lab name
- Healthy Self DPC, PLLC
- Address
- 12310 Woodcreek Dr, Ste E, Willis, TX 77318
- Phone
- (936) 828-7511
- Fax
- (936) 251-2287
Annual test volume the lab reported
- Waived tests
- 25
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Willis, TX
- Alliance Mri Montgomery County / Capitol ImagingCertificate of Waiver, Other practitioner45D2315337
- CVS Pharmacy, Inc DBA Cvs/Pharmacy #10996Certificate of Waiver, Pharmacy45D2256533
- Champions Pediatric AssociatesCertificate of Waiver, Physician office45D2143301
- Heb Pharmacy #791Certificate of Waiver, Pharmacy45D2271192
- Kroger Pharmacy #014Certificate of Waiver, Pharmacy45D2000953
- Memorial Hermann-Gohealth Urgent CareCertificate of Waiver, Other45D2274127
- Mhmg Willis Primary CareCertificate of Waiver, Physician office45D2315630
- PCP for Life WillisCertificate of Waiver, Physician office45D2348021
- SLP Willis, LLCCertificate of Waiver, Skilled nursing or nursing facility45D0722472
- Walgreens #15012Certificate of Waiver, Pharmacy45D2091297
Related
Questions
What is the CLIA number for Healthy Self DPC, PLLC in Willis?
45D2292383, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Healthy Self DPC, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2292383 expire?
The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.