45D0488341 CLIA NUMBER - GOODALL WITCHER CLINIC IN CLIFTON

Laboratory Demographics

  • CLIA Code: 45D0488341
  • Facility Name: GOODALL WITCHER CLINIC IN CLIFTON
  • Facility Address: 201 POSEY AVENUE
    CLIFTON, TX
    ZIP 76634
  • Facility Phone: 254 675-8322
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MONICA PHILLIPSBRYANT
  • NPI Number: 1598709578
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D0488341
LAB Type Community Clinic
Facility Name GOODALL WITCHER CLINIC IN CLIFTON
Street 201 POSEY AVENUE
City CLIFTON
State TX
ZIP 76634
Phone 254 675-8322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Community Clinic
Lab Director MONICA PHILLIPSBRYANT

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