45D1044483 CLIA NUMBER - CHAD A EZZELL MD

Laboratory Demographics

  • CLIA Code: 45D1044483
  • Facility Name: CHAD A EZZELL MD
  • Facility Address: 1850 HICKORY
    ABILENE, TX
    ZIP 79601
  • Facility Phone: 325 670-5740
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHAD A. EZZELL MD
  • NPI Number: 1568458255
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1044483
LAB Type Physician Office
Facility Name CHAD A EZZELL MD
Street 1850 HICKORY
City ABILENE
State TX
ZIP 79601
Phone 325 670-5740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director CHAD A. EZZELL MD

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