45D0498334 CLIA NUMBER - TEXAS A & M PHYSICIANS

Laboratory Demographics

  • CLIA Code: 45D0498334
  • Facility Name: TEXAS A & M PHYSICIANS
  • Facility Address: 2900 EAST 29TH ST SUITE 200
    BRYAN, TX
    ZIP 77802
  • Facility Phone: 979 436-0485
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNA LICHORAD
  • NPI Number: 1518401694
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 45D0498334
LAB Type Physician Office
Facility Name TEXAS A & M PHYSICIANS
Street 2900 EAST 29TH ST SUITE 200
City BRYAN
State TX
ZIP 77802
Phone 979 436-0485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Physician Office
Lab Director ANNA LICHORAD

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