45D0488453 CLIA NUMBER - GOODALL WITCHER CLINIC IN WHITNEY

Laboratory Demographics

  • CLIA Code: 45D0488453
  • Facility Name: GOODALL WITCHER CLINIC IN WHITNEY
  • Facility Address: 202 E JEFFERSON AVE
    WHITNEY, TX
    ZIP 76692
  • Facility Phone: 254 675-8322
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MONICA PHILLIPSBRYANT
  • NPI Number: 1336546266
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0488453
LAB Type Community Clinic
Facility Name GOODALL WITCHER CLINIC IN WHITNEY
Street 202 E JEFFERSON AVE
City WHITNEY
State TX
ZIP 76692
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director MONICA PHILLIPSBRYANT

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