45D0989797 CLIA NUMBER - LUFKIN ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 45D0989797
  • Facility Name: LUFKIN ENDOSCOPY CENTER
  • Facility Address: 317 GASLIGHT BLVD
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 634-3713
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BHAGVAN R. MALLADI
  • NPI Number: 1922477769
  • Taxonomy: 1223E0200X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D0989797
LAB Type Ambulatory Surgery Center
Facility Name LUFKIN ENDOSCOPY CENTER
Street 317 GASLIGHT BLVD
City LUFKIN
State TX
ZIP 75904
Phone 936 634-3713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Ambulatory Surgery Center
Lab Director BHAGVAN R. MALLADI

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