45D0482866 CLIA NUMBER - PHYNET, INC -HUGMAN-KENT CLINIC

Laboratory Demographics

CLIA Number: 45D0482866

Facility Name: PHYNET, INC -HUGMAN-KENT CLINIC

Facility Address:
307 WEST UPSHUR
GLADEWATER, TX
ZIP 75647
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Facility Phone Number: 903 845-2159

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1912174111

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0482866
LAB Type	Physician Office
Facility Name	PHYNET, INC -HUGMAN-KENT CLINIC
Street	307 WEST UPSHUR
City	GLADEWATER
State	TX
ZIP	75647
Phone	903 845-2159
CertificateType	4
CertificateEffectiveDate	7/19/2023
CertificateExpirationDate	7/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024