45D2275802 CLIA NUMBER - WILLIS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2275802
  • Facility Name: WILLIS SURGERY CENTER
  • Facility Address: 9863 FM 1097 RD W
    WILLIS, TX
    ZIP 77318
  • Facility Phone: 936 228-8955
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AARON FETTER
  • NPI Number: 1639804248
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2275802
LAB Type Ambulatory Surgery Center
Facility Name WILLIS SURGERY CENTER
Street 9863 FM 1097 RD W
City WILLIS
State TX
ZIP 77318
Phone 936 228-8955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Ambulatory Surgery Center
Lab Director AARON FETTER

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