45D0499615 CLIA NUMBER - DEWITT MEDICAL DISTRICT DBA YORKTOWN MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0499615
  • Facility Name: DEWITT MEDICAL DISTRICT DBA YORKTOWN MEDICAL CLINIC
  • Facility Address: 508 N RIEDEL
    YORKTOWN, TX
    ZIP 78164
  • Facility Phone: 361 564-9230
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: NICHOLAS J. LEMLEY
  • NPI Number: 1821422551
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0499615
LAB Type Rural Health Clinic
Facility Name DEWITT MEDICAL DISTRICT DBA YORKTOWN MEDICAL CLINIC
Street 508 N RIEDEL
City YORKTOWN
State TX
ZIP 78164
Phone 361 564-9230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Rural Health Clinic
Lab Director NICHOLAS J. LEMLEY

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