45D0678370 CLIA NUMBER - OBSTETRICS & GYNECOLOGY ASSOCIATES OF EAST TEXAS

Laboratory Demographics

CLIA Number: 45D0678370

Facility Name: OBSTETRICS & GYNECOLOGY ASSOCIATES OF EAST TEXAS

Facility Address:
115 MEDICAL DRIVE
PALESTINE, TX
ZIP 75801
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Facility Phone Number: 903 723-8554

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1295007649

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	45D0678370
LAB Type	Physician Office
Facility Name	OBSTETRICS & GYNECOLOGY ASSOCIATES OF EAST TEXAS
Street	115 MEDICAL DRIVE
City	PALESTINE
State	TX
ZIP	75801
Phone	903 723-8554
CertificateType	3
CertificateEffectiveDate	2/9/2024
CertificateExpirationDate	2/8/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024