45D2048067 CLIA NUMBER - JOB B MONGARE, MD

Laboratory Demographics

  • CLIA Code: 45D2048067
  • Facility Name: JOB B MONGARE, MD
  • Facility Address: 113 N MURCHISON ST
    ATHENS, TX
    ZIP 75751
  • Facility Phone: 903 677-5006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOB B. MONGARE
  • NPI Number: 1962463869
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D2048067
LAB Type Physician Office
Facility Name JOB B MONGARE, MD
Street 113 N MURCHISON ST
City ATHENS
State TX
ZIP 75751
Phone 903 677-5006
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 JOB B. MONGARE

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