45D1043475 CLIA NUMBER - LAURA BIRNBAUM, MD PA

Laboratory Demographics

  • CLIA Code: 45D1043475
  • Facility Name: LAURA BIRNBAUM, MD PA
  • Facility Address: 219A EAST RAILROAD
    GIDDINGS, TX
    ZIP 78942
  • Facility Phone: 979 542-9000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAURA M. BIRNBAUM, MD
  • NPI Number: 1053309088
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1043475
LAB Type Physician Office
Facility Name LAURA BIRNBAUM, MD PA
Street 219A EAST RAILROAD
City GIDDINGS
State TX
ZIP 78942
Phone 979 542-9000
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 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director LAURA M. BIRNBAUM, MD

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