45D2240992 CLIA NUMBER - PADUCAH ISD

Laboratory Demographics

  • CLIA Code: 45D2240992
  • Facility Name: PADUCAH ISD
  • Facility Address: 810 GOODWIN AVE
    PADUCAH, TX
    ZIP 79248
  • Facility Phone: 806 492-3524
  • Facility Type: Other - PUBLIC SCHOOL
  • Facility Type: Waiver
  • Lab Director: GARY J. WAITMAN
  • NPI Number: 1245750447
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D2240992
LAB Type Other - PUBLIC SCHOOL
Facility Name PADUCAH ISD
Street 810 GOODWIN AVE
City PADUCAH
State TX
ZIP 79248
Phone 806 492-3524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Other - PUBLIC SCHOOL
Lab Director GARY J. WAITMAN

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