45D2009267 CLIA NUMBER - BAYLOR SCOTT & WHITE CLINIC-CAMERON

Laboratory Demographics

  • CLIA Code: 45D2009267
  • Facility Name: BAYLOR SCOTT & WHITE CLINIC-CAMERON
  • Facility Address: 101 LAFFERTY AVE
    CAMERON, TX
    ZIP 76520
  • Facility Phone: 254 605-1130
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BROOK I. CARTER
  • NPI Number: 1750692760
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2009267
LAB Type Physician Office
Facility Name BAYLOR SCOTT & WHITE CLINIC-CAMERON
Street 101 LAFFERTY AVE
City CAMERON
State TX
ZIP 76520
Phone 254 605-1130
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 9/30/2023
Certificate Expiration Date 9/29/2025
Facility Type Physician Office
Lab Director BROOK I. CARTER

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This page was last updated on: 3/20/2025