45D2300067 CLIA NUMBER - MOTHERLY TRANSITIONS

Laboratory Demographics

  • CLIA Code: 45D2300067
  • Facility Name: MOTHERLY TRANSITIONS
  • Facility Address: 816 NORTH ST
    NACOGDOCHES, TX
    ZIP 75961
  • Facility Phone: 713 562-0105
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRISCILLA BRICKEY
  • NPI Number: 1932972429
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2300067
LAB Type Physician Office
Facility Name MOTHERLY TRANSITIONS
Street 816 NORTH ST
City NACOGDOCHES
State TX
ZIP 75961
Phone 713 562-0105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director PRISCILLA BRICKEY

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