45D0994126 CLIA NUMBER - JONATHAN D EDWARDS, MD

Laboratory Demographics

  • CLIA Code: 45D0994126
  • Facility Name: JONATHAN D EDWARDS, MD
  • Facility Address: 212 W CAYUGA DR
    ATHENS, TX
    ZIP 75751
  • Facility Phone: 903 675-5742
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN D. EDWARDS
  • NPI Number: 1720097298
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0994126
LAB Type Physician Office
Facility Name JONATHAN D EDWARDS, MD
Street 212 W CAYUGA DR
City ATHENS
State TX
ZIP 75751
Phone 903 675-5742
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director JONATHAN D. EDWARDS

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