CLIA lab
CLIA 45D1072509: Blair Family Medicine, PA
Ennis, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1072509 belongs to Blair Family Medicine, PA in Ennis, TX.
Certificate of Waiver, effective August 17, 2025, expires August 16, 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
- August 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2007
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D1072509
- Lab name
- Blair Family Medicine, PA
- Address
- 2203 W Lampasas, Suite 101, Ennis, TX 75119
- Phone
- (972) 875-7799
- Fax
- (972) 878-3031
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- DR Fredric Puckett PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office45D2024029
- Davey M Perrin, MDCertificate of Waiver, Physician office45D2283464
- Ellis County Coalition for Health OptionsCertificate of Waiver, Federally qualified health center45D2120454
- Ellis County Medical Associates, PACertificate of Waiver, Physician office45D0478401
- Emmanuel E Sackey, MD PACertificate of Waiver, Physician office45D0945655
Related
Questions
What is the CLIA number for Blair Family Medicine, PA in Ennis?
45D1072509, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blair Family Medicine, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D1072509 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.