45D2137101 CLIA NUMBER - GREGORY K WACASEY, OD

Laboratory Demographics

  • CLIA Code: 45D2137101
  • Facility Name: GREGORY K WACASEY, OD
  • Facility Address: 2834 BILL OWENS PARKWAY
    LONGVIEW, TX
    ZIP 75605
  • Facility Phone: 903 663-1550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY K. WACASEY
  • NPI Number: 1215980040
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2137101
LAB Type Physician Office
Facility Name GREGORY K WACASEY, OD
Street 2834 BILL OWENS PARKWAY
City LONGVIEW
State TX
ZIP 75605
Phone 903 663-1550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director GREGORY K. WACASEY

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