45D1094853 CLIA NUMBER - THOMAS C COLE JR MD PA

Laboratory Demographics

  • CLIA Code: 45D1094853
  • Facility Name: THOMAS C COLE JR MD PA
  • Facility Address: 1203 AVENUE J
    HUNTSVILLE, TX
    ZIP 77340
  • Facility Phone: 936 295-3728
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS C. COLE
  • NPI Number: 1265525851
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1094853
LAB Type Physician Office
Facility Name THOMAS C COLE JR MD PA
Street 1203 AVENUE J
City HUNTSVILLE
State TX
ZIP 77340
Phone 936 295-3728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director THOMAS C. COLE

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