CLIA lab
CLIA 45D2306063: Itasca Healing Medical Practice
Nacogdoches, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2306063 belongs to Itasca Healing Medical Practice in Nacogdoches, TX.
Certificate of Waiver, effective June 11, 2026, expires June 10, 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 11, 2026
- Certificate expiration
- June 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 11, 2024
- 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
- 45D2306063
- Lab name
- Itasca Healing Medical Practice
- Address
- 223 King St, Nacogdoches, TX 75961
- Phone
- (936) 622-0552
- Fax
- (936) 622-0554
Annual test volume the lab reported
- Waived tests
- 200
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 Itasca Healing Medical Practice in Nacogdoches?
45D2306063, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Itasca Healing Medical Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2306063 expire?
The CMS file lists June 10, 2028 as the certificate expiration date; the certificate took effect June 11, 2026.