45D0487497 CLIA NUMBER - WHITESBORO FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0487497
  • Facility Name: WHITESBORO FAMILY MEDICAL CLINIC
  • Facility Address: 304 CHARLIE DRIVE
    WHITESBORO, TX
    ZIP 76273
  • Facility Phone: 903 564-3503
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LLOGAN YOSTEN
  • NPI Number: 1518358209
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D0487497
LAB Type Physician Office
Facility Name WHITESBORO FAMILY MEDICAL CLINIC
Street 304 CHARLIE DRIVE
City WHITESBORO
State TX
ZIP 76273
Phone 903 564-3503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director LLOGAN YOSTEN

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