45D2099733 CLIA NUMBER - COLBY C EVANS, PA

Laboratory Demographics

  • CLIA Code: 45D2099733
  • Facility Name: COLBY C EVANS, PA
  • Facility Address: 20871 I-35 #200
    KYLE, TX
    ZIP 78640
  • Facility Phone: 512 280-3939
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: COLBY C. EVANS
  • NPI Number: 1588766810
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2099733
LAB Type Physician Office
Facility Name COLBY C EVANS, PA
Street 20871 I-35 #200
City KYLE
State TX
ZIP 78640
Phone 512 280-3939
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 7/31/2023
Certificate Expiration Date 7/30/2025
Facility Type Physician Office
Lab Director COLBY C. EVANS

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This page was last updated on: 6/4/2025