CLIA lab
CLIA 45D2173375: East Texas Out-Patient, PLLC
Edgewood, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2173375 belongs to East Texas Out-Patient, PLLC in Edgewood, TX.
Certificate of Waiver, effective October 10, 2025, expires October 9, 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
- October 10, 2025
- Certificate expiration
- October 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 10, 2019
- 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
- 45D2173375
- Lab name
- East Texas Out-Patient, PLLC
- Address
- 116 N Houston Street, Edgewood, TX 75117
- Phone
- (903) 962-3419
- Fax
- (903) 385-3340
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Edgewood, TX
Related
Questions
What is the CLIA number for East Texas Out-Patient, PLLC in Edgewood?
45D2173375, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does East Texas Out-Patient, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2173375 expire?
The CMS file lists October 9, 2027 as the certificate expiration date; the certificate took effect October 10, 2025.