45D2039354 CLIA NUMBER - TALL PINES FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 45D2039354
  • Facility Name: TALL PINES FAMILY CLINIC
  • Facility Address: 1224 S JOHN REDDITT DRIVE
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 639-4393
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH A. KOCH
  • NPI Number: 1255697306
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2039354
LAB Type Physician Office
Facility Name TALL PINES FAMILY CLINIC
Street 1224 S JOHN REDDITT DRIVE
City LUFKIN
State TX
ZIP 75904
Phone 936 639-4393
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 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director JOSEPH A. KOCH

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