45D0875110 CLIA NUMBER - RANDALL SCHAFFNER MD OFFICE

Laboratory Demographics

  • CLIA Code: 45D0875110
  • Facility Name: RANDALL SCHAFFNER MD OFFICE
  • Facility Address: 4301 COLLEGE DRIVE SUITE 300
    VERNON, TX
    ZIP 76384
  • Facility Phone: 817 552-0552
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RANDALL L. SCHAFFNER
  • NPI Number: 1962400895
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0875110
LAB Type Physician Office
Facility Name RANDALL SCHAFFNER MD OFFICE
Street 4301 COLLEGE DRIVE SUITE 300
City VERNON
State TX
ZIP 76384
Phone 817 552-0552
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 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director RANDALL L. SCHAFFNER

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