45D2090081 CLIA NUMBER - AULT MCINNIS PLLC DBA FAMILY FIRST OF JACKSONVILLE

Laboratory Demographics

  • CLIA Code: 45D2090081
  • Facility Name: AULT MCINNIS PLLC DBA FAMILY FIRST OF JACKSONVILLE
  • Facility Address: 2114 E RUSK STREET
    JACKSONVILLE, TX
    ZIP 75766
  • Facility Phone: 903 284-6105
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ARLENE ONEIL
  • NPI Number: 1942587159
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2090081
LAB Type Physician Office
Facility Name AULT MCINNIS PLLC DBA FAMILY FIRST OF JACKSONVILLE
Street 2114 E RUSK STREET
City JACKSONVILLE
State TX
ZIP 75766
Phone 903 284-6105
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director ARLENE ONEIL

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