45D2226505 CLIA NUMBER - TOTAL POINT JACKSONVILLE, LLC

Laboratory Demographics

  • CLIA Code: 45D2226505
  • Facility Name: TOTAL POINT JACKSONVILLE, LLC
  • Facility Address: 1517 E RUSK STREET
    JACKSONVILLE, TX
    ZIP 75766
  • Facility Phone: 903 339-2370
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: CHIC BODDIE
  • NPI Number: 1780255091
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2226505
LAB Type Other - URGENT CARE
Facility Name TOTAL POINT JACKSONVILLE, LLC
Street 1517 E RUSK STREET
City JACKSONVILLE
State TX
ZIP 75766
Phone 903 339-2370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Other - URGENT CARE
Lab Director CHIC BODDIE

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