45D0482698 CLIA NUMBER - LONGVIEW CANCER CENTER LAB

Laboratory Demographics

  • CLIA Code: 45D0482698
  • Facility Name: LONGVIEW CANCER CENTER LAB
  • Facility Address: 1400 N 4TH STREET
    LONGVIEW, TX
    ZIP 75601
  • Facility Phone: 903 234-7051
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: KAVITA NIRMAL
  • NPI Number: 1790955847
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0482698
LAB Type Physician Office
Facility Name LONGVIEW CANCER CENTER LAB
Street 1400 N 4TH STREET
City LONGVIEW
State TX
ZIP 75601
Phone 903 234-7051
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director KAVITA NIRMAL

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This page was last updated on: 9/29/2025