45D0989618 CLIA NUMBER - LONGVIEW CANCER CENTER MOBILE PET

Laboratory Demographics

  • CLIA Code: 45D0989618
  • Facility Name: LONGVIEW CANCER CENTER MOBILE PET
  • Facility Address: 1300 NORTH 4TH STREET
    LONGVIEW, TX
    ZIP 75601
  • Facility Phone: 903 757-2122
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: LEWIS A. DUNCAN
  • NPI Number: 1982837829
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0989618
LAB Type Mobile Laboratory
Facility Name LONGVIEW CANCER CENTER MOBILE PET
Street 1300 NORTH 4TH STREET
City LONGVIEW
State TX
ZIP 75601
Phone 903 757-2122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Mobile Laboratory
Lab Director LEWIS A. DUNCAN

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