45D0481936 CLIA NUMBER - TEXOMACARE - BONHAM

Laboratory Demographics

  • CLIA Code: 45D0481936
  • Facility Name: TEXOMACARE - BONHAM
  • Facility Address: 2201 NORTH HIGHWAY 121
    BONHAM, TX
    ZIP 75418
  • Facility Phone: 903 583-3111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT C. SANDERS
  • NPI Number: 1770536518
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0481936
LAB Type Physician Office
Facility Name TEXOMACARE - BONHAM
Street 2201 NORTH HIGHWAY 121
City BONHAM
State TX
ZIP 75418
Phone 903 583-3111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director ROBERT C. SANDERS

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This page was last updated on: 9/29/2025