45D2141076 CLIA NUMBER - NELSON FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2141076
  • Facility Name: NELSON FAMILY PRACTICE
  • Facility Address: 420 TENAHA STREET
    CENTER, TX
    ZIP 75935
  • Facility Phone: 936 890-8025
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: SHARON NELSON
  • NPI Number: 1750621454
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2141076
LAB Type Practitioner Other
Facility Name NELSON FAMILY PRACTICE
Street 420 TENAHA STREET
City CENTER
State TX
ZIP 75935
Phone 936 890-8025
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 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Practitioner Other
Lab Director SHARON NELSON

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