45D0487915 CLIA NUMBER - ROBERT DELUCA DO PA

Laboratory Demographics

  • CLIA Code: 45D0487915
  • Facility Name: ROBERT DELUCA DO PA
  • Facility Address: 500 W PLUMMER ST
    EASTLAND, TX
    ZIP 76448
  • Facility Phone: 817 629-3393
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT C. DELUCA
  • NPI Number: 1295729739
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0487915
LAB Type Physician Office
Facility Name ROBERT DELUCA DO PA
Street 500 W PLUMMER ST
City EASTLAND
State TX
ZIP 76448
Phone 817 629-3393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ROBERT C. DELUCA

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