45D0696057 CLIA NUMBER - OB/GYN CLINIC

Laboratory Demographics

  • CLIA Code: 45D0696057
  • Facility Name: OB/GYN CLINIC
  • Facility Address: 3900 JOE RAMSEY BLVD BUILDING E
    GREENVILLE, TX
    ZIP 75401
  • Facility Phone: 903 454-1722
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARIE HOLLIS
  • NPI Number: 1760621866
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0696057
LAB Type Physician Office
Facility Name OB/GYN CLINIC
Street 3900 JOE RAMSEY BLVD BUILDING E
City GREENVILLE
State TX
ZIP 75401
Phone 903 454-1722
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 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director MARIE HOLLIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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