45D1074462 CLIA NUMBER - MCBROOM CLINIC PA

Laboratory Demographics

  • CLIA Code: 45D1074462
  • Facility Name: MCBROOM CLINIC PA
  • Facility Address: 598 CACTUS DR
    GIDDINGS, TX
    ZIP 78942
  • Facility Phone: (979) 542-7400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM M. MCBROOM
  • NPI Number: 1114088093
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1074462
LAB Type Physician Office
Facility Name MCBROOM CLINIC PA
Street 598 CACTUS DR
City GIDDINGS
State TX
ZIP 78942
Phone 9795427400
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 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director WILLIAM M. MCBROOM

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This page was last updated on: 5/18/2026