45D2031495 CLIA NUMBER - COLDSPRING FAMILY CARE

Laboratory Demographics

  • CLIA Code: 45D2031495
  • Facility Name: COLDSPRING FAMILY CARE
  • Facility Address: 21 ALPINE STREET
    COLDSPRING, TX
    ZIP 77331
  • Facility Phone: 865 586-6563
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DUC M. LE
  • NPI Number: 1124562962
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 45D2031495
LAB Type Physician Office
Facility Name COLDSPRING FAMILY CARE
Street 21 ALPINE STREET
City COLDSPRING
State TX
ZIP 77331
Phone 865 586-6563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director DUC M. LE

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