45D1007886 CLIA NUMBER - JULIE TOMBERLIN, MD

Laboratory Demographics

  • CLIA Code: 45D1007886
  • Facility Name: JULIE TOMBERLIN, MD
  • Facility Address: 706 HUNTERS ROW CT
    MANSFIELD, TX
    ZIP 76063
  • Facility Phone: 682 518-8111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE A. TOMBERLIN
  • NPI Number: 1386943231
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1007886
LAB Type Physician Office
Facility Name JULIE TOMBERLIN, MD
Street 706 HUNTERS ROW CT
City MANSFIELD
State TX
ZIP 76063
Phone 682 518-8111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director JULIE A. TOMBERLIN

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