45D0502922 CLIA NUMBER - CHRISTUS SPOHN MEDICAL GROUP COASTAL BEND FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 45D0502922

Facility Name: CHRISTUS SPOHN MEDICAL GROUP COASTAL BEND FAMILY MEDICINE

Facility Address:
5920 SARATOGA BLVD, STE 520
CORPUS CHRISTI, TX
ZIP 78414
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Facility Phone Number: 361 985-1888

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1518695915

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	45D0502922
LAB Type	Physician Office
Facility Name	CHRISTUS SPOHN MEDICAL GROUP COASTAL BEND FAMILY MEDICINE
Street	5920 SARATOGA BLVD, STE 520
City	CORPUS CHRISTI
State	TX
ZIP	78414
Phone	361 985-1888
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024