CLIA lab
CLIA 45D2347105: Blue Agave Functional Medicine Clinic
Bulverde, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2347105 belongs to Blue Agave Functional Medicine Clinic in Bulverde, TX.
Certificate of Waiver, effective July 13, 2026, expires July 12, 2028.
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
- July 13, 2026
- Certificate expiration
- July 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 13, 2026
- 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
- 45D2347105
- Lab name
- Blue Agave Functional Medicine Clinic
- Address
- 20475 State Hwy 46 W Ste 350, Bulverde, TX 78163
- Phone
- (830) 491-4040
- Fax
- (469) 442-0778
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bulverde, TX
- Acacia Medical MissionCertificate of Waiver, Community clinic45D2196075
- BHS Physician NetworkCertificate of Waiver, Physician office45D2185365
- Home Town Family HealthcareCertificate of Waiver, Physician office45D2307716
- Hope Hospice - BulverdeCertificate of Waiver, Hospice45D2331904
- Mercy Wellness ClinicCertificate of Waiver, Physician office45D2148653
- Topcare Medical Group IncCertificate of Waiver, Physician office45D2100227
- UT Health Sa Wellness 360 Pediatrics - SjrcCertificate of Waiver, Community clinic45D2266350
Related
Questions
What is the CLIA number for Blue Agave Functional Medicine Clinic in Bulverde?
45D2347105, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blue Agave Functional Medicine Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2347105 expire?
The CMS file lists July 12, 2028 as the certificate expiration date; the certificate took effect July 13, 2026.