LIBERTY MEDICAL SURGICAL CLINIC PA
NPI 1063419729
Clinical Medical Laboratory in Liberty, TX

Active since July 07, 2005CLIA 45D0497236 · Accreditation
720 TRAVIS ST, LIBERTY, TX 77575(936) 336-6439(936) 336-6517 Get Directions Write a Review

NPPES record last updated: May 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Medical Surgical Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY MEDICAL SURGICAL CLINIC PA (NPI 1063419729) is a healthcare organization registered as a clinical medical laboratory in Liberty, Texas and active in the NPI registry since July 2005. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Arthur Reese Brown, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1063419729
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLIBERTY MEDICAL SURGICAL CLINIC PA
Location Address720 TRAVIS STLiberty, TX 77575-4828
Mailing Address720 Travis StLiberty, TX 77575-4828 · (936) 336-6439 · Fax (936) 336-6517
Fax(936) 336-6517
Organization SubpartNo
Authorized OfficialArthur Reese BrownOwner/partner · (936) 336-6439
Enumeration DateJuly 7, 2005
Last NPPES UpdateMay 2, 2011
NPI 1063419729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in TX · 45D0497236
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
720 TRAVIS ST, Liberty, TX 77575

Other Identifiers 4

OtherCH8298TX · Rr Medicare-nr
Medicare UPIN00K41JTX
Medicaid093702101TX
Other1159730001TX · Dmerc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D0497236

Liberty Medical Surgical Clinic · Liberty, TX
Active · expires Dec 22, 2027
CLIA Number45D0497236
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorSteven Ellerbe
Laboratory Phone(936) 336-6439
Laboratory LocationLiberty Medical Surgical Clinic720 Travis Street, Liberty, TX 77575
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
720 TRAVIS ST
LIBERTY, TX 77575
Family Medicine
720 TRAVIS ST
LIBERTY, TX 77575
Family Medicine
720 TRAVIS ST
LIBERTY, TX 77575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Medical Surgical Clinic PA's NPI number?

The NPI number for Liberty Medical Surgical Clinic PA is 1063419729. It was assigned to this organization in the NPPES registry on July 7, 2005.

Where is Liberty Medical Surgical Clinic PA located?

Liberty Medical Surgical Clinic PA is located at 720 Travis St, Liberty, TX 77575. The listed phone number is (936) 336-6439.

What is Liberty Medical Surgical Clinic PA's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Liberty Medical Surgical Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D0497236) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty Medical Surgical Clinic PA was last updated on May 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.