45D2121035 CLIA NUMBER - TERRELL OB-GYN CLINIC -HOLLIS PLLC

Laboratory Demographics

  • CLIA Code: 45D2121035
  • Facility Name: TERRELL OB-GYN CLINIC -HOLLIS PLLC
  • Facility Address: 109 TEJAS, SUITE 100
    TERRELL, TX
    ZIP 75160
  • Facility Phone: 972 563-3334
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARIE HOLLIS
  • NPI Number: 1003366485
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2121035
LAB Type Physician Office
Facility Name TERRELL OB-GYN CLINIC -HOLLIS PLLC
Street 109 TEJAS, SUITE 100
City TERRELL
State TX
ZIP 75160
Phone 972 563-3334
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 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director MARIE HOLLIS

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