45D2055860 CLIA NUMBER - RUSSELL E SWANN, PA D/B/A BRAZOS EYE SURGERY OF TEXAS

Laboratory Demographics

  • CLIA Code: 45D2055860
  • Facility Name: RUSSELL E SWANN, PA D/B/A BRAZOS EYE SURGERY OF TEXAS
  • Facility Address: 201 LONDONDERRY
    WACO, TX
    ZIP 76712
  • Facility Phone: 254 772-4499
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FORREST B. SWANN
  • NPI Number: 1386822237
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2055860
LAB Type Physician Office
Facility Name RUSSELL E SWANN, PA D/B/A BRAZOS EYE SURGERY OF TEXAS
Street 201 LONDONDERRY
City WACO
State TX
ZIP 76712
Phone 254 772-4499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director FORREST B. SWANN

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