45D2225512 CLIA NUMBER - BRIAN NELSON MD, PLLC

Laboratory Demographics

  • CLIA Code: 45D2225512
  • Facility Name: BRIAN NELSON MD, PLLC
  • Facility Address: 111 HYDE PARK BLVD SUITE 100
    CLEBURNE, TX
    ZIP 76033
  • Facility Phone: 682 549-8199
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN NELSON
  • NPI Number: 1629630249
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2225512
LAB Type Physician Office
Facility Name BRIAN NELSON MD, PLLC
Street 111 HYDE PARK BLVD SUITE 100
City CLEBURNE
State TX
ZIP 76033
Phone 682 549-8199
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 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director BRIAN NELSON

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