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STEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE
NPI 1265501076
Clinic/Center - Student Health in Nacogdoches, TX

Active since November 07, 2006CLIA 45D0670854 · Waiver
2106 RAGUET ST N, BOX 13058, NACOGDOCHES, TX 75962(936) 468-4008(936) 468-1316 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephen F. Austin State Univ. Health Service NPPES

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

STEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE (NPI 1265501076) is a healthcare organization registered as a student health in Nacogdoches, Texas and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists John Miller, Director, as its authorized official.

NPPES Registry Identity

NPI1265501076
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameSTEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE
Location Address2106 RAGUET ST N, BOX 13058Nacogdoches, TX 75962-0001
Mailing Address2106 Raguet St N, Box 13058Nacogdoches, TX 75962-0001 · (936) 468-4008 · Fax (936) 468-1316
Phone(936) 468-4008
Fax(936) 468-1316
Organization SubpartNo
Authorized OfficialJohn MillerDirector · (936) 468-4008
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265501076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
2106 RAGUET ST N, Nacogdoches, TX 75962
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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 Waiver 45D0670854

Stephen F Austin State University Dba Health Services Lab · Nacogdoches, TX
Active · expires May 7, 2027
CLIA Number45D0670854
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorBonnie B. Ryan
Laboratory Phone(936) 468-4008
Laboratory LocationStephen F Austin State University Dba Health Services Lab2106 Raguet Street, Nacogdoches, TX 75962
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is STEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE's NPI number?

The NPI number assigned to this healthcare provider is 1265501076, enumerated as an "organization" on November 07, 2006.

Where is the provider located?

The provider is located at 2106 RAGUET ST N BOX 13058 NACOGDOCHES, TX 75962 and the phone number is (936) 468-4008.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.