45D2108579 CLIA NUMBER - CASHION & DELEON NP CLINIC

Laboratory Demographics

  • CLIA Code: 45D2108579
  • Facility Name: CASHION & DELEON NP CLINIC
  • Facility Address: 1605 ROCK PRAIRIE RD SUITE 315
    COLLEGE STATION, TX
    ZIP 77845
  • Facility Phone: 979 694-2026
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICERIO DELEON
  • NPI Number: 1033407176
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2108579
LAB Type Physician Office
Facility Name CASHION & DELEON NP CLINIC
Street 1605 ROCK PRAIRIE RD SUITE 315
City COLLEGE STATION
State TX
ZIP 77845
Phone 979 694-2026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director NICERIO DELEON

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