45D1073048 CLIA NUMBER - EAST TEXAS A&M UNIVERSITY STUDENT HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 45D1073048
  • Facility Name: EAST TEXAS A&M UNIVERSITY STUDENT HEALTH SERVICES
  • Facility Address: HENDERSON HALL STE 120 CORNER OF LEE AND MONROES STS
    COMMERCE, TX
    ZIP 75429
  • Facility Phone: 903 886-5853
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: MAXINE MENDOZA-WELCH
  • NPI Number: 1407286396
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1073048
LAB Type School/Student Health Service
Facility Name EAST TEXAS A&M UNIVERSITY STUDENT HEALTH SERVICES
Street HENDERSON HALL STE 120 CORNER OF LEE AND MONROES STS
City COMMERCE
State TX
ZIP 75429
Phone 903 886-5853
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 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type School/Student Health Service
Lab Director MAXINE MENDOZA-WELCH

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