45D0942162 CLIA NUMBER - MARK A CLINE, MD

Laboratory Demographics

  • CLIA Code: 45D0942162
  • Facility Name: MARK A CLINE, MD
  • Facility Address: 3900 NE STALLINGS DRIVE, SUITE 101
    NACOGDOCHES, TX
    ZIP 75965
  • Facility Phone: 409 559-8770
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK A. CLINE
  • NPI Number: 1477563898
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0942162
LAB Type Physician Office
Facility Name MARK A CLINE, MD
Street 3900 NE STALLINGS DRIVE, SUITE 101
City NACOGDOCHES
State TX
ZIP 75965
Phone 409 559-8770
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 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Physician Office
Lab Director MARK A. CLINE

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