45D2198608 CLIA NUMBER - MARK H DICKIE MD PLLC

Laboratory Demographics

  • CLIA Code: 45D2198608
  • Facility Name: MARK H DICKIE MD PLLC
  • Facility Address: 782 DRY CREEK RD
    WACO, TX
    ZIP 76705
  • Facility Phone: 254 870-4417
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK H. DICKIE
  • NPI Number: 1093763633
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2198608
LAB Type Physician Office
Facility Name MARK H DICKIE MD PLLC
Street 782 DRY CREEK RD
City WACO
State TX
ZIP 76705
Phone 254 870-4417
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 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director MARK H. DICKIE

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