45D0987675 CLIA NUMBER - REGIONAL EMPLOYEE ASSISTANCE PROGRAM

Laboratory Demographics

  • CLIA Code: 45D0987675
  • Facility Name: REGIONAL EMPLOYEE ASSISTANCE PROGRAM
  • Facility Address: 605 E SAN ANTONIO ST, SUITE 509E
    VICTORIA, TX
    ZIP 77901
  • Facility Phone: 361 573-6351
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL S. BAST
  • NPI Number: 1275767691
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 45D0987675
LAB Type Physician Office
Facility Name REGIONAL EMPLOYEE ASSISTANCE PROGRAM
Street 605 E SAN ANTONIO ST, SUITE 509E
City VICTORIA
State TX
ZIP 77901
Phone 361 573-6351
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 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director DANIEL S. BAST

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