45D0901732 CLIA NUMBER - JAMES N CHILDS, MD

Laboratory Demographics

  • CLIA Code: 45D0901732
  • Facility Name: JAMES N CHILDS, MD
  • Facility Address: 1605 ROCK PRAIRIE ROAD, SUITE 312
    COLLEGE STATION, TX
    ZIP 77845
  • Facility Phone: 409 696-4444
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES N. CHILDS, MD
  • NPI Number: 1023150083
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D0901732
LAB Type Physician Office
Facility Name JAMES N CHILDS, MD
Street 1605 ROCK PRAIRIE ROAD, SUITE 312
City COLLEGE STATION
State TX
ZIP 77845
Phone 409 696-4444
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 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director JAMES N. CHILDS, MD

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