45D1068693 CLIA NUMBER - AUGUST PEDIATRICS, PA

Laboratory Demographics

  • CLIA Code: 45D1068693
  • Facility Name: AUGUST PEDIATRICS, PA
  • Facility Address: 2401 S FM 51, SUITE 100
    DECATUR, TX
    ZIP 76234
  • Facility Phone: 940 627-8044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANISSA G. AUGUST, MD
  • NPI Number: 1760684518
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1068693
LAB Type Physician Office
Facility Name AUGUST PEDIATRICS, PA
Street 2401 S FM 51, SUITE 100
City DECATUR
State TX
ZIP 76234
Phone 940 627-8044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Physician Office
Lab Director ANISSA G. AUGUST, MD

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