45D2194464 CLIA NUMBER - JODI M BRANNEN MD PLLC

Laboratory Demographics

  • CLIA Code: 45D2194464
  • Facility Name: JODI M BRANNEN MD PLLC
  • Facility Address: 515 N KING ST STE 105
    SEGUIN, TX
    ZIP 78155
  • Facility Phone: 830 272-0210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JODI M. BRANNEN
  • NPI Number: 1548496722
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2194464
LAB Type Physician Office
Facility Name JODI M BRANNEN MD PLLC
Street 515 N KING ST STE 105
City SEGUIN
State TX
ZIP 78155
Phone 830 272-0210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director JODI M. BRANNEN

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