45D0504078 CLIA NUMBER - FREDERICKSBURG CLINIC

Laboratory Demographics

  • CLIA Code: 45D0504078
  • Facility Name: FREDERICKSBURG CLINIC
  • Facility Address: 1308 S STATE HIGHWAY 16
    FREDERICKSBURG, TX
    ZIP 78624
  • Facility Phone: 830 997-2181
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. MAGGIE GAINER
  • NPI Number: 1033145545
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0504078
LAB Type Physician Office
Facility Name FREDERICKSBURG CLINIC
Street 1308 S STATE HIGHWAY 16
City FREDERICKSBURG
State TX
ZIP 78624
Phone 830 997-2181
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 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director DR. MAGGIE GAINER

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