45D0484032 CLIA NUMBER - PETER A BIDWELL MD

Laboratory Demographics

  • CLIA Code: 45D0484032
  • Facility Name: PETER A BIDWELL MD
  • Facility Address: 1007 DICKERSON DRIVE
    JASPER, TX
    ZIP 75951
  • Facility Phone: 409 384-3421
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER A. BIDWELL MD
  • NPI Number: 1487650420
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0484032
LAB Type Physician Office
Facility Name PETER A BIDWELL MD
Street 1007 DICKERSON DRIVE
City JASPER
State TX
ZIP 75951
Phone 409 384-3421
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 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director PETER A. BIDWELL MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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