45D0484161 CLIA NUMBER - EAST TEXAS COMMUNITY HEALTH SERVICES, INC

Laboratory Demographics

  • CLIA Code: 45D0484161
  • Facility Name: EAST TEXAS COMMUNITY HEALTH SERVICES, INC
  • Facility Address: 1309 SOUTH UNIVERSITY DR
    NACOGDOCHES, TX
    ZIP 75961
  • Facility Phone: 936 560-5668
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: RODRIGO W. SOTILLO
  • NPI Number: 1619194537
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 45D0484161
LAB Type Community Clinic
Facility Name EAST TEXAS COMMUNITY HEALTH SERVICES, INC
Street 1309 SOUTH UNIVERSITY DR
City NACOGDOCHES
State TX
ZIP 75961
Phone 936 560-5668
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director RODRIGO W. SOTILLO

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