45D0713435 CLIA NUMBER - TERRY L WELLS MD

Laboratory Demographics

  • CLIA Code: 45D0713435
  • Facility Name: TERRY L WELLS MD
  • Facility Address: 121 GASLIGHT MEDICAL PARKWAY, SUITE 102
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 634-3329
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRY L. WELLS
  • NPI Number: 1639104813
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0713435
LAB Type Physician Office
Facility Name TERRY L WELLS MD
Street 121 GASLIGHT MEDICAL PARKWAY, SUITE 102
City LUFKIN
State TX
ZIP 75904
Phone 936 634-3329
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director TERRY L. WELLS

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