45D2049699 CLIA NUMBER - PERMIAN PREMIER HEALTH SERVICES, INC

Laboratory Demographics

  • CLIA Code: 45D2049699
  • Facility Name: PERMIAN PREMIER HEALTH SERVICES, INC
  • Facility Address: 610 STRICKLAND DRIVE SUITE 170
    ORANGE, TX
    ZIP 77630
  • Facility Phone: 409 833-9797
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY JANE CASTRO
  • NPI Number: 1982169603
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2049699
LAB Type Physician Office
Facility Name PERMIAN PREMIER HEALTH SERVICES, INC
Street 610 STRICKLAND DRIVE SUITE 170
City ORANGE
State TX
ZIP 77630
Phone 409 833-9797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director MARY JANE CASTRO

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This page was last updated on: 3/20/2025