45D2007611 CLIA NUMBER - Ch Wilkinson Physician Network Dba

Laboratory Demographics

CLIA Number:
45D2007611

Facility Name:
Ch Wilkinson Physician Network Dba

Facility Address:
2602 St Michael Dr, Suite 201b
Texarkana, TX
ZIP 75503

Facility Phone Number:
(903) 614-5530

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Waiver

Map - Location of Facility

CLIA Record

Field Name Field Value
CLIA Number 45D2007611
LAB Type PHYSICIAN OFFICE
Facility Name Ch Wilkinson Physician Network Dba
Street 2602 St Michael Dr, Suite 201b
City Texarkana
State TX
ZIP 75503
Phone 9036145530

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This page was last updated on: 12/21/2017