45D2013212 CLIA NUMBER - WILLIS FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2013212
  • Facility Name: WILLIS FAMILY PRACTICE
  • Facility Address: 9851 FM 1097 RD WEST STE 120
    WILLIS, TX
    ZIP 77318
  • Facility Phone: 936 890-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODNEY J. LANINGHAM
  • NPI Number: 1952655649
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2013212
LAB Type Physician Office
Facility Name WILLIS FAMILY PRACTICE
Street 9851 FM 1097 RD WEST STE 120
City WILLIS
State TX
ZIP 77318
Phone 936 890-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director RODNEY J. LANINGHAM

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