45D2180843 CLIA NUMBER - NOBILITY MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 45D2180843
  • Facility Name: NOBILITY MEDICAL, PLLC
  • Facility Address: 1903 DOCTORS HOSPITAL DRIVE
    BRIDGEPORT, TX
    ZIP 76426
  • Facility Phone: 940 255-6552
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUHAMMAD A. SIDDIQUI
  • NPI Number: 1710653548
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 45D2180843
LAB Type Physician Office
Facility Name NOBILITY MEDICAL, PLLC
Street 1903 DOCTORS HOSPITAL DRIVE
City BRIDGEPORT
State TX
ZIP 76426
Phone 940 255-6552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director MUHAMMAD A. SIDDIQUI

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