45D2063315 CLIA NUMBER - CATALYST PHYSICIAN GROUP-ETX, PLLC FMET

Laboratory Demographics

  • CLIA Code: 45D2063315
  • Facility Name: CATALYST PHYSICIAN GROUP-ETX, PLLC FMET
  • Facility Address: 206 GENE SAMFORD DR, STE B
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 634-3396
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANGELA HAFERNICK
  • NPI Number: 1669793006
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2063315
LAB Type Physician Office
Facility Name CATALYST PHYSICIAN GROUP-ETX, PLLC FMET
Street 206 GENE SAMFORD DR, STE B
City LUFKIN
State TX
ZIP 75904
Phone 936 634-3396
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 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director ANGELA HAFERNICK

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