45D1066221 CLIA NUMBER - AMY L OFFUTT MD PA

Laboratory Demographics

  • CLIA Code: 45D1066221
  • Facility Name: AMY L OFFUTT MD PA
  • Facility Address: 707 THIRD STREET
    MARBLE FALLS, TX
    ZIP 78654
  • Facility Phone: 830 693-7546
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMY L. OFFUTT MD
  • NPI Number: 1891777314
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1066221
LAB Type Physician Office
Facility Name AMY L OFFUTT MD PA
Street 707 THIRD STREET
City MARBLE FALLS
State TX
ZIP 78654
Phone 830 693-7546
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 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director AMY L. OFFUTT MD

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