45D2048045 CLIA NUMBER - PREMILA JOHSON, MD,LP

Laboratory Demographics

  • CLIA Code: 45D2048045
  • Facility Name: PREMILA JOHSON, MD,LP
  • Facility Address: 2300 W MICHIGAN AVE, SUITE 5
    MIDLAND, TX
    ZIP 79701
  • Facility Phone: 432 683-9898
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PREMILA JOHNSON
  • NPI Number: 1396007274
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2048045
LAB Type Physician Office
Facility Name PREMILA JOHSON, MD,LP
Street 2300 W MICHIGAN AVE, SUITE 5
City MIDLAND
State TX
ZIP 79701
Phone 432 683-9898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Physician Office
Lab Director PREMILA JOHNSON

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