45D2287991 CLIA NUMBER - EAST TEXAS PREMIER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2287991
  • Facility Name: EAST TEXAS PREMIER PEDIATRICS
  • Facility Address: 1 MEDICAL CENTER BLVD, STE B
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 634-5437
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MS. BEDAR S. DOYLE
  • NPI Number: 1306872569
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2287991
LAB Type Physician Office
Facility Name EAST TEXAS PREMIER PEDIATRICS
Street 1 MEDICAL CENTER BLVD, STE B
City LUFKIN
State TX
ZIP 75904
Phone 936 634-5437
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director MS. BEDAR S. DOYLE

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