45D1010477 CLIA NUMBER - K PAUL GERSTENBERG, DO PA

Laboratory Demographics

  • CLIA Code: 45D1010477
  • Facility Name: K PAUL GERSTENBERG, DO PA
  • Facility Address: 2927 NALL STREET
    PORT NECHES, TX
    ZIP 77651
  • Facility Phone: 409 210-3336
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: K PAUL P. GERSTENBERG
  • NPI Number: 1104824507
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1010477
LAB Type Physician Office
Facility Name K PAUL GERSTENBERG, DO PA
Street 2927 NALL STREET
City PORT NECHES
State TX
ZIP 77651
Phone 409 210-3336
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Physician Office
Lab Director K PAUL P. GERSTENBERG

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