45D1042400 CLIA NUMBER - CANADIAN FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 45D1042400
  • Facility Name: CANADIAN FAMILY PHYSICIANS
  • Facility Address: 1010 S 4TH STREET
    CANADIAN, TX
    ZIP 79014
  • Facility Phone: 806 323-9309
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GEORGE A. COOK MD
  • NPI Number: 1083092399
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D1042400
LAB Type Physician Office
Facility Name CANADIAN FAMILY PHYSICIANS
Street 1010 S 4TH STREET
City CANADIAN
State TX
ZIP 79014
Phone 806 323-9309
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 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director GEORGE A. COOK MD

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