45D2216603 CLIA NUMBER - PRATIBHA DESHPANDE MD

Laboratory Demographics

  • CLIA Code: 45D2216603
  • Facility Name: PRATIBHA DESHPANDE MD
  • Facility Address: 507 GASLIGHT BLVD
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 632-2326
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRATIBHA A. DESHPANDE
  • NPI Number: 1164511408
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2216603
LAB Type Physician Office
Facility Name PRATIBHA DESHPANDE MD
Street 507 GASLIGHT BLVD
City LUFKIN
State TX
ZIP 75904
Phone 936 632-2326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director PRATIBHA A. DESHPANDE

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