45D0979353 CLIA NUMBER - CARLTON J LEWIS DO PA

Laboratory Demographics

  • CLIA Code: 45D0979353
  • Facility Name: CARLTON J LEWIS DO PA
  • Facility Address: 10 MEDICAL CTR BLVD SUITE I
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 699-3161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLTON J. LEWIS
  • NPI Number: 1902893928
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0979353
LAB Type Physician Office
Facility Name CARLTON J LEWIS DO PA
Street 10 MEDICAL CTR BLVD SUITE I
City LUFKIN
State TX
ZIP 75904
Phone 936 699-3161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Physician Office
Lab Director CARLTON J. LEWIS

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