45D0504187 CLIA NUMBER - BAYLOR SCOTT & WHITE CLINIC - LLANO

Laboratory Demographics

  • CLIA Code: 45D0504187
  • Facility Name: BAYLOR SCOTT & WHITE CLINIC - LLANO
  • Facility Address: 102 EAST YOUNG
    LLANO, TX
    ZIP 78643
  • Facility Phone: 254 724-4409
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID D. HOERSTER
  • NPI Number: 1699076257
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0504187
LAB Type Physician Office
Facility Name BAYLOR SCOTT & WHITE CLINIC - LLANO
Street 102 EAST YOUNG
City LLANO
State TX
ZIP 78643
Phone 254 724-4409
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 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director DAVID D. HOERSTER

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