ETX DIAGNOSTICS LLC
NPI 1760189898
Clinical Medical Laboratory in Stafford, TX

NPI Status: Active since February 09, 2023

Contact Information

12849 CAPRICORN ST
STAFFORD, TX
ZIP 77477
Phone: (346) 335-3953
Fax: (346) 857-0230

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 45D2275807
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 07-25-2025

About ETX DIAGNOSTICS LLC

This page provides the complete NPI Profile along with additional information for Etx Diagnostics Llc, a provider established in Stafford, Texas operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1760189898 assigned on February 2023. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated April 2025. The authorized official of this NPI record is Karen Avery (Director Of Billing)

NPI
1760189898
Provider Name
ETX DIAGNOSTICS LLC
Entity Type
Organization
Location Address
12849 CAPRICORN ST STAFFORD, TX 77477
Location Phone
(346) 335-3953
Location Fax
(346) 857-0230
Mailing Address
12849 CAPRICORN ST STAFFORD, TX 77477
Mailing Phone
(702) 830-3009
Mailing Fax
(346) 857-0230
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2023
Last Update Date
04-24-2025
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Establishments like Etx Diagnostics Llc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN AVERY

Authorized Official Title
DIRECTOR OF BILLING
Authorized Official Phone
(702) 830-3009

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2275807
Facility Type
Independent
Certificate Effective Date
July 26, 2023
Certificate Expiration Date
July 25, 2025
Laboratory Director
DR. JOSEPH COX
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Etx Diagnostics Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760189898
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271202818818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 2 + 8 + 1 + 8 + 8 + 1 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1760189898 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

STAFFORD GENETICS INC

Clinical Medical Laboratory

12849 CAPRICORN ST
STAFFORD, TX
ZIP 77477

(346) 335-3953

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760189898, enumerated as an "organization" on February 09, 2023.

The provider is located at 12849 CAPRICORN ST STAFFORD, TX 77477 and the phone number is (346) 335-3953.

Clinical Medical Laboratory with taxonomy code 291U00000X.