45D0908597 CLIA NUMBER - MOSES E WILCOX SR MD

Laboratory Demographics

  • CLIA Code: 45D0908597
  • Facility Name: MOSES E WILCOX SR MD
  • Facility Address: 1120 S 27TH STREET
    NEDERLAND, TX
    ZIP 77627
  • Facility Phone: 409 727-0794
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MOSES E. WILCOX MD
  • NPI Number: 1033192901
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D0908597
LAB Type Physician Office
Facility Name MOSES E WILCOX SR MD
Street 1120 S 27TH STREET
City NEDERLAND
State TX
ZIP 77627
Phone 409 727-0794
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 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Physician Office
Lab Director MOSES E. WILCOX MD

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