45D0498869 CLIA NUMBER - DEWITT MEDICAL DISTRICT D/B/A GOLIAD FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D0498869
  • Facility Name: DEWITT MEDICAL DISTRICT D/B/A GOLIAD FAMILY PRACTICE
  • Facility Address: 139 W FRANKLIN ST
    GOLIAD, TX
    ZIP 77963
  • Facility Phone: 361 645-8235
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CODY WALTHALL
  • NPI Number: 1831567122
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0498869
LAB Type Rural Health Clinic
Facility Name DEWITT MEDICAL DISTRICT D/B/A GOLIAD FAMILY PRACTICE
Street 139 W FRANKLIN ST
City GOLIAD
State TX
ZIP 77963
Phone 361 645-8235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Rural Health Clinic
Lab Director CODY WALTHALL

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