45D1079447 CLIA NUMBER - PHYNET, INC

Laboratory Demographics

  • CLIA Code: 45D1079447
  • Facility Name: PHYNET, INC
  • Facility Address: 219 N POLK ST
    JEFFERSON, TX
    ZIP 75657
  • Facility Phone: 903 665-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DARRELL BUNCH
  • NPI Number: 1558404293
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D1079447
LAB Type Physician Office
Facility Name PHYNET, INC
Street 219 N POLK ST
City JEFFERSON
State TX
ZIP 75657
Phone 903 665-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Physician Office
Lab Director DARRELL BUNCH

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