45D1067711 CLIA NUMBER - EASTERN TEXAS PATHOLOGY LABORATORIES PA

Laboratory Demographics

  • CLIA Code: 45D1067711
  • Facility Name: EASTERN TEXAS PATHOLOGY LABORATORIES PA
  • Facility Address: 134 ROSEDALE DR
    ATHENS, TX
    ZIP 75751
  • Facility Phone: 903 675-0080
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JASON T. LOOS
  • NPI Number: 1154445419
  • Taxonomy: 207ZP0102X - Pathology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1067711
LAB Type Independent
Facility Name EASTERN TEXAS PATHOLOGY LABORATORIES PA
Street 134 ROSEDALE DR
City ATHENS
State TX
ZIP 75751
Phone 903 675-0080
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Independent
Lab Director DR. JASON T. LOOS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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