45D0488354 CLIA NUMBER - FAMILY MEDICINE CENTER

Laboratory Demographics

  • CLIA Code: 45D0488354
  • Facility Name: FAMILY MEDICINE CENTER
  • Facility Address: 701 MCCLINTIC DR
    GROESBECK, TX
    ZIP 76642
  • Facility Phone: (254) 729-3411
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KENNETH LOMENZO
  • NPI Number: 1669468617
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0488354
LAB Type Rural Health Clinic
Facility Name FAMILY MEDICINE CENTER
Street 701 MCCLINTIC DR
City GROESBECK
State TX
ZIP 76642
Phone 2547293411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Rural Health Clinic
Lab Director KENNETH LOMENZO

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This page was last updated on: 5/18/2026