45D0506286 CLIA NUMBER - COMMUNITY HEALTH DEVELOPMENT INC

Laboratory Demographics

  • CLIA Code: 45D0506286
  • Facility Name: COMMUNITY HEALTH DEVELOPMENT INC
  • Facility Address: 140 W RANCH ROAD 337
    LEAKEY, TX
    ZIP 78873
  • Facility Phone: 830 278-5604
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ETHAN K. LOPEZ
  • NPI Number: 1841316288
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0506286
LAB Type Federally Qualified Health Center
Facility Name COMMUNITY HEALTH DEVELOPMENT INC
Street 140 W RANCH ROAD 337
City LEAKEY
State TX
ZIP 78873
Phone 830 278-5604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Federally Qualified Health Center
Lab Director ETHAN K. LOPEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025