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

No. Field Name Field Value
1 CLIA Number 45D2007611
2 LAB Type PHYSICIAN OFFICE
3 Facility Name Ch Wilkinson Physician Network Dba
4 Street 2602 St Michael Dr, Suite 201b
5 City Texarkana
6 State TX
7 ZIP 75503
8 Phone 9036145530

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This page was last updated on: 8/23/2014