45D1005845 CLIA NUMBER - LONGVIEW DIAGNOSTIC IMAGING LTD OPEN IMAGING OF LONGVIEW

Laboratory Demographics

  • CLIA Code: 45D1005845
  • Facility Name: LONGVIEW DIAGNOSTIC IMAGING LTD OPEN IMAGING OF LONGVIEW
  • Facility Address: 1010 NORTH 6TH STREET
    LONGVIEW, TX
    ZIP 75601
  • Facility Phone: 903 757-9596
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DOUGLAS HOLDER, MD
  • NPI Number: 1093470221
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1005845
LAB Type Independent
Facility Name LONGVIEW DIAGNOSTIC IMAGING LTD OPEN IMAGING OF LONGVIEW
Street 1010 NORTH 6TH STREET
City LONGVIEW
State TX
ZIP 75601
Phone 903 757-9596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Independent
Lab Director DOUGLAS HOLDER, MD

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This page was last updated on: 6/4/2025