45D0942509 CLIA NUMBER - MYRNA C DE ASIS, MD, PA

Laboratory Demographics

  • CLIA Code: 45D0942509
  • Facility Name: MYRNA C DE ASIS, MD, PA
  • Facility Address: 1819 TENTH ST
    WICHITA FALLS, TX
    ZIP 76301
  • Facility Phone: 940 763-8077
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MYRNA C. DE ASIS
  • NPI Number: 1043214406
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0942509
LAB Type Physician Office
Facility Name MYRNA C DE ASIS, MD, PA
Street 1819 TENTH ST
City WICHITA FALLS
State TX
ZIP 76301
Phone 940 763-8077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director MYRNA C. DE ASIS

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