45D0871561 CLIA NUMBER - DIAGNOSTIC CLINIC OF LONGVIEW

Laboratory Demographics

  • CLIA Code: 45D0871561
  • Facility Name: DIAGNOSTIC CLINIC OF LONGVIEW
  • Facility Address: 802 MEDICAL DRIVE STE #202
    LONGVIEW, TX
    ZIP 75605
  • Facility Phone: 903 232-8244
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANCIS J. TIBILETTI
  • NPI Number: 1922440296
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D0871561
LAB Type Physician Office
Facility Name DIAGNOSTIC CLINIC OF LONGVIEW
Street 802 MEDICAL DRIVE STE #202
City LONGVIEW
State TX
ZIP 75605
Phone 903 232-8244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director FRANCIS J. TIBILETTI

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