45D1096082 CLIA NUMBER - JASON N PEET MD PA

Laboratory Demographics

  • CLIA Code: 45D1096082
  • Facility Name: JASON N PEET MD PA
  • Facility Address: 110 E LIVE OAK ST
    FREDERICKSBURG, TX
    ZIP 78624
  • Facility Phone: 830 997-5559
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JASON N. PEET
  • NPI Number: 1306880786
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1096082
LAB Type Physician Office
Facility Name JASON N PEET MD PA
Street 110 E LIVE OAK ST
City FREDERICKSBURG
State TX
ZIP 78624
Phone 830 997-5559
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 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director JASON N. PEET

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