CLIA lab
CLIA 45D1003488: Kelley Moon, MD
Nacogdoches, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1003488 belongs to Kelley Moon, MD in Nacogdoches, TX.
Certificate of Waiver, effective February 19, 2025, expires February 18, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 19, 2025
- Certificate expiration
- February 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 3, 2002
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D1003488
- Lab name
- Kelley Moon, MD
- Address
- 1320 North University Ste B, Nacogdoches, TX 75961
- Phone
- (936) 559-9225
- Fax
- (936) 559-9701
Annual test volume the lab reported
- Waived tests
- 8,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Nacogdoches, TX
- Aaron C Polk JR MD Family PracticeCertificate of Waiver, Physician office45D1016834
- Ahm Action Home Health LP DBACertificate of Waiver, Home health agency45D1018707
- Akesis Spine and Pain InterventionCertificate of Waiver, Physician office45D2312199
- Amy Huggins DO PACertificate of Waiver, Physician office45D1062347
- Aqua Dialysis Nacogdoches LLCCertificate of Waiver, End stage renal disease dialysis facility45D1069713
- BHS Physicians Network, IncCertificate for Provider-Performed Microscopy Procedures, Physician office45D2053436
- BHS Physicians Network, IncCertificate of Waiver, Other practitioner45D2128020
- BHS Physicians Network, IncCertificate of Waiver, Physician office45D2346497
- Biomat Holdings LLCCertificate of Accreditation, Other45D2236906
- Bluebonnet Medicine & WellnessCertificate of Waiver, Physician office45D2329731
Related
Questions
What is the CLIA number for Kelley Moon, MD in Nacogdoches?
45D1003488, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kelley Moon, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D1003488 expire?
The CMS file lists February 18, 2027 as the certificate expiration date; the certificate took effect February 19, 2025.