45D0484023 CLIA NUMBER - PINEYWOODS DIAGNOSTIC CLINIC PA

Laboratory Demographics

  • CLIA Code: 45D0484023
  • Facility Name: PINEYWOODS DIAGNOSTIC CLINIC PA
  • Facility Address: 106 NORTH HIGHWAY 69
    HUNTINGTON, TX
    ZIP 75949
  • Facility Phone: 936 876-5719
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LENIN PINNAMANENI
  • NPI Number: 1447339916
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0484023
LAB Type Physician Office
Facility Name PINEYWOODS DIAGNOSTIC CLINIC PA
Street 106 NORTH HIGHWAY 69
City HUNTINGTON
State TX
ZIP 75949
Phone 936 876-5719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director LENIN PINNAMANENI

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