45D1051515 CLIA NUMBER - CHARLES A EVANS MD PA

Laboratory Demographics

  • CLIA Code: 45D1051515
  • Facility Name: CHARLES A EVANS MD PA
  • Facility Address: 203 CHRISTIE STREET
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 699-5433
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES EVANS, MD, PA
  • NPI Number: 1255334538
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1051515
LAB Type Physician Office
Facility Name CHARLES A EVANS MD PA
Street 203 CHRISTIE STREET
City LUFKIN
State TX
ZIP 75904
Phone 936 699-5433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director CHARLES EVANS, MD, PA

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This page was last updated on: 3/20/2025