45D2047764 CLIA NUMBER - LACY COKER KESSLER MD PA

Laboratory Demographics

  • CLIA Code: 45D2047764
  • Facility Name: LACY COKER KESSLER MD PA
  • Facility Address: 2420 WYCON DR., SUITE 403
    WACO, TX
    ZIP 76712
  • Facility Phone: 254 420-0002
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LACY C. KESSLER
  • NPI Number: 1003177726
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2047764
LAB Type Physician Office
Facility Name LACY COKER KESSLER MD PA
Street 2420 WYCON DR., SUITE 403
City WACO
State TX
ZIP 76712
Phone 254 420-0002
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 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director LACY C. KESSLER

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