45D1048565 CLIA NUMBER - SAMMY LERMA III, MD, PA

Laboratory Demographics

  • CLIA Code: 45D1048565
  • Facility Name: SAMMY LERMA III, MD, PA
  • Facility Address: 1109 CHURCH STREET
    BASTROP, TX
    ZIP 78602
  • Facility Phone: 512 321-3311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMMY LERMA, III
  • NPI Number: 1871571950
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1048565
LAB Type Physician Office
Facility Name SAMMY LERMA III, MD, PA
Street 1109 CHURCH STREET
City BASTROP
State TX
ZIP 78602
Phone 512 321-3311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director SAMMY LERMA, III

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