45D2128020 CLIA NUMBER - BHS PHYSICIANS NETWORK, INC

Laboratory Demographics

  • CLIA Code: 45D2128020
  • Facility Name: BHS PHYSICIANS NETWORK, INC
  • Facility Address: 623 RUSSELL BLVD
    NACOGDOCHES, TX
    ZIP 75965
  • Facility Phone: 936 305-5277
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARCIA NELSON
  • NPI Number: 1700260957
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2128020
LAB Type Practitioner Other
Facility Name BHS PHYSICIANS NETWORK, INC
Street 623 RUSSELL BLVD
City NACOGDOCHES
State TX
ZIP 75965
Phone 936 305-5277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Practitioner Other
Lab Director MARCIA NELSON

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