45D2167223 CLIA NUMBER - RICHARD L BAKER, MD

Laboratory Demographics

  • CLIA Code: 45D2167223
  • Facility Name: RICHARD L BAKER, MD
  • Facility Address: 1301 RAGUET STREET
    NACOGDOCHES, TX
    ZIP 75961
  • Facility Phone: 936 560-3620
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD L. BAKER
  • NPI Number: 1073600433
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2167223
LAB Type Physician Office
Facility Name RICHARD L BAKER, MD
Street 1301 RAGUET STREET
City NACOGDOCHES
State TX
ZIP 75961
Phone 936 560-3620
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 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director RICHARD L. BAKER

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