45D2234053 CLIA NUMBER - REPUBLIC PAIN SPECIALISTS REPUBLIC ANESTHESIA LLC

Laboratory Demographics

  • CLIA Code: 45D2234053
  • Facility Name: REPUBLIC PAIN SPECIALISTS REPUBLIC ANESTHESIA LLC
  • Facility Address: 3201 UNIVERSITY DR E #370
    BRYAN, TX
    ZIP 77802
  • Facility Phone: 979 703-1426
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID E. GASKIN
  • NPI Number: 1215401831
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 45D2234053
LAB Type Physician Office
Facility Name REPUBLIC PAIN SPECIALISTS REPUBLIC ANESTHESIA LLC
Street 3201 UNIVERSITY DR E #370
City BRYAN
State TX
ZIP 77802
Phone 979 703-1426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Physician Office
Lab Director DAVID E. GASKIN

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