45D0498774 CLIA NUMBER - DETAR HOSPITAL LABORATORY

Laboratory Demographics

  • CLIA Code: 45D0498774
  • Facility Name: DETAR HOSPITAL LABORATORY
  • Facility Address: 506 EAST SAN ANTONIO STREET
    VICTORIA, TX
    ZIP 77901
  • Facility Phone: 361 788-6160
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. PETER A. POWASER
  • NPI Number: 1366686263
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D0498774
LAB Type Hospital
Facility Name DETAR HOSPITAL LABORATORY
Street 506 EAST SAN ANTONIO STREET
City VICTORIA
State TX
ZIP 77901
Phone 361 788-6160
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. PETER A. POWASER

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