45D2126484 CLIA NUMBER - WACO LUNG ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D2126484
  • Facility Name: WACO LUNG ASSOCIATES
  • Facility Address: 342 RICHLAND WEST CIRCLE
    WACO, TX
    ZIP 76712
  • Facility Phone: 254 537-6600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATT T. PATTILLO
  • NPI Number: 1285700823
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2126484
LAB Type Physician Office
Facility Name WACO LUNG ASSOCIATES
Street 342 RICHLAND WEST CIRCLE
City WACO
State TX
ZIP 76712
Phone 254 537-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director MATT T. PATTILLO

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