45D0891716 CLIA NUMBER - DESMAR WALKES MD

Laboratory Demographics

  • CLIA Code: 45D0891716
  • Facility Name: DESMAR WALKES MD
  • Facility Address: 815 HWY 71 WEST STE 1150
    BASTROP, TX
    ZIP 78602
  • Facility Phone: 512 321-1098
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DESMAR WALKES
  • NPI Number: 1831138767
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0891716
LAB Type Physician Office
Facility Name DESMAR WALKES MD
Street 815 HWY 71 WEST STE 1150
City BASTROP
State TX
ZIP 78602
Phone 512 321-1098
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 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Physician Office
Lab Director DESMAR WALKES

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