45D0483936 CLIA NUMBER - ANGELINA CNTY & CITIES HEALTH DIST

Laboratory Demographics

  • CLIA Code: 45D0483936
  • Facility Name: ANGELINA CNTY & CITIES HEALTH DIST
  • Facility Address: 503 HILL STREET
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 632-1139
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: KINDRELL TUCKER
  • NPI Number: 1154425494
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0483936
LAB Type Other
Facility Name ANGELINA CNTY & CITIES HEALTH DIST
Street 503 HILL STREET
City LUFKIN
State TX
ZIP 75904
Phone 936 632-1139
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Other
Lab Director KINDRELL TUCKER

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