45D0926175 CLIA NUMBER - CHEROKEE COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 45D0926175
  • Facility Name: CHEROKEE COUNTY HEALTH DEPARTMENT
  • Facility Address: 1502 S BOLTON STREET
    JACKSONVILLE, TX
    ZIP 75766
  • Facility Phone: 903 586-6191
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: JAMES R. LOW
  • NPI Number: 1730398827
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 45D0926175
LAB Type Community Clinic
Facility Name CHEROKEE COUNTY HEALTH DEPARTMENT
Street 1502 S BOLTON STREET
City JACKSONVILLE
State TX
ZIP 75766
Phone 903 586-6191
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 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Community Clinic
Lab Director JAMES R. LOW

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