45D2299419 CLIA NUMBER - RILEY D LITTLE, MD

Laboratory Demographics

  • CLIA Code: 45D2299419
  • Facility Name: RILEY D LITTLE, MD
  • Facility Address: 212 RUSSELL BOULEVARD
    NACOGDOCHES, TX
    ZIP 75965
  • Facility Phone: 936 569-9239
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RILEY D. LITTLE
  • NPI Number: 1588292569
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2299419
LAB Type Physician Office
Facility Name RILEY D LITTLE, MD
Street 212 RUSSELL BOULEVARD
City NACOGDOCHES
State TX
ZIP 75965
Phone 936 569-9239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director RILEY D. LITTLE

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