45D2247839 CLIA NUMBER - REGIONAL CLINICS OF LONGVIEW

Laboratory Demographics

  • CLIA Code: 45D2247839
  • Facility Name: REGIONAL CLINICS OF LONGVIEW
  • Facility Address: 802 MEDICAL CIRCLE SUITE 200
    LONGVIEW, TX
    ZIP 75605
  • Facility Phone: 903 262-1622
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH E. MCCLURE
  • NPI Number: 1407047863
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2247839
LAB Type Physician Office
Facility Name REGIONAL CLINICS OF LONGVIEW
Street 802 MEDICAL CIRCLE SUITE 200
City LONGVIEW
State TX
ZIP 75605
Phone 903 262-1622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director KENNETH E. MCCLURE

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This page was last updated on: 3/20/2025