45D2309547 CLIA NUMBER - ANDERSON DIRECT HEALTHCARE PLLC

Laboratory Demographics

  • CLIA Code: 45D2309547
  • Facility Name: ANDERSON DIRECT HEALTHCARE PLLC
  • Facility Address: 114 WEST BUFFINGTON AVENUE SUITE B
    ANDERSON, TX
    ZIP 77830
  • Facility Phone: 903 239-2911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA DUBOSE
  • NPI Number: 1023528148
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D2309547
LAB Type Physician Office
Facility Name ANDERSON DIRECT HEALTHCARE PLLC
Street 114 WEST BUFFINGTON AVENUE SUITE B
City ANDERSON
State TX
ZIP 77830
Phone 903 239-2911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director JOSHUA DUBOSE

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