CLIA lab
CLIA 45D2296462: Khan Medical Clinic
Willow Park, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2296462 belongs to Khan Medical Clinic in Willow Park, TX.
Certificate of Waiver, effective December 28, 2025, expires December 27, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 28, 2025
- Certificate expiration
- December 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 28, 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
- 45D2296462
- Lab name
- Khan Medical Clinic
- Address
- 5077 E I-20 Service Road North, Willow Park, TX 76087
- Phone
- (817) 374-4949
- Fax
- (817) 374-4949
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 Willow Park, TX
- Aspire Skin HealthCertificate of Compliance, Physician office45D2228148
- BSW Primary Care Willow ParkCertificate of Waiver, Physician office45D2181011
- Clear Fork Assisted Living & Memory CareCertificate of Waiver, Ancillary test site45D2204549
- Connections Wellness GroupCertificate of Waiver, Physician office45D2288481
- Institute for Hormonal BalanceCertificate of Waiver, Physician office45D2346630
- Medical City Family CareCertificate of Waiver, Physician office45D2013663
- North Star WP, LPCertificate of Waiver, Other45D2302569
- North Texas Retina ConsultantsCertificate of Waiver, Physician office45D2203680
- Strategic Clinical Research Group, LLCCertificate of Waiver, Physician office45D2097126
- Texas Center for UrologyCertificate of Waiver, Physician office45D2122988
Related
Questions
What is the CLIA number for Khan Medical Clinic in Willow Park?
45D2296462, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Khan Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2296462 expire?
The CMS file lists December 27, 2027 as the certificate expiration date; the certificate took effect December 28, 2025.