CLIA lab
CLIA 45D2150206: DR Subodh K Mallik MD
Fort Stockton, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2150206 belongs to DR Subodh K Mallik MD in Fort Stockton, TX.
Certificate of Waiver, effective June 19, 2026, expires June 18, 2028.
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
- June 19, 2026
- Certificate expiration
- June 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 19, 2018
- 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
- 45D2150206
- Lab name
- DR Subodh K Mallik MD
- Address
- 237 West 21st, Fort Stockton, TX 79735
- Phone
- (432) 299-7108
- Fax
- (432) 299-7090
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Fresenius Kidney Care FT StocktonCertificate of Waiver, End stage renal disease dialysis facility45D2043247
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- Pecos County Memorial HospitalCertificate for Provider-Performed Microscopy Procedures, Rural health clinic45D0508889
- Pecos County Memorial Hospital DistrictCertificate of Accreditation, Hospital45D0660803
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- Ttuhsc - MC Fort Stockton UnitCertificate of Waiver, Prison45D2116332
Related
Questions
What is the CLIA number for DR Subodh K Mallik MD in Fort Stockton?
45D2150206, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR Subodh K Mallik MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2150206 expire?
The CMS file lists June 18, 2028 as the certificate expiration date; the certificate took effect June 19, 2026.