CLIA lab

CLIA 45D2024029: DR Fredric Puckett PLLC

Ennis, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D2024029 belongs to DR Fredric Puckett PLLC in Ennis, TX.

Certificate for Provider-Performed Microscopy Procedures, effective May 6, 2025, expires May 5, 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 for Provider-Performed Microscopy Procedures
Certificate effective
May 6, 2025
Certificate expiration
May 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 6, 2011
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
45D2024029
Lab name
DR Fredric Puckett PLLC
Address
2203 W Lampasas St, Suite 111, Ennis, TX 75119
Phone
(972) 875-6200
Fax
(972) 875-6414

Annual test volume the lab reported

Waived tests
250
Provider-performed microscopy tests
50
Total
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for DR Fredric Puckett PLLC in Ennis?

45D2024029, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does DR Fredric Puckett PLLC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 45D2024029 expire?

The CMS file lists May 5, 2027 as the certificate expiration date; the certificate took effect May 6, 2025.

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