45D1063342 CLIA NUMBER - JAMES W PICKENS, MD PA

Laboratory Demographics

  • CLIA Code: 45D1063342
  • Facility Name: JAMES W PICKENS, MD PA
  • Facility Address: 1626 W HIGHWAY 287, BUS, SUITE 103
    WAXAHACHIE, TX
    ZIP 75165
  • Facility Phone: 972 351-9182
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES W. PICKENS
  • NPI Number: 1982610408
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1063342
LAB Type Physician Office
Facility Name JAMES W PICKENS, MD PA
Street 1626 W HIGHWAY 287, BUS, SUITE 103
City WAXAHACHIE
State TX
ZIP 75165
Phone 972 351-9182
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director JAMES W. PICKENS

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