45D2128750 CLIA NUMBER - KENNETH E ANDERSON JR, MD

Laboratory Demographics

  • CLIA Code: 45D2128750
  • Facility Name: KENNETH E ANDERSON JR, MD
  • Facility Address: 500 E PEYTON , SUITE 100
    SHERMAN, TX
    ZIP 75090
  • Facility Phone: 903 893-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH E. ANDERSON
  • NPI Number: 1821328451
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2128750
LAB Type Physician Office
Facility Name KENNETH E ANDERSON JR, MD
Street 500 E PEYTON , SUITE 100
City SHERMAN
State TX
ZIP 75090
Phone 903 893-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director KENNETH E. ANDERSON

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