45D2258872 CLIA NUMBER - SMALL TOWN MEDICAL SOLUTIONS

Laboratory Demographics

  • CLIA Code: 45D2258872
  • Facility Name: SMALL TOWN MEDICAL SOLUTIONS
  • Facility Address: 365 TX-123 SUITE 5
    STOCKDALE, TX
    ZIP 78160
  • Facility Phone: 254 423-0784
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES DUKAS
  • NPI Number: 1033855820
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2258872
LAB Type Physician Office
Facility Name SMALL TOWN MEDICAL SOLUTIONS
Street 365 TX-123 SUITE 5
City STOCKDALE
State TX
ZIP 78160
Phone 254 423-0784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director JAMES DUKAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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