45D0506643 CLIA NUMBER - REGENCE HEALTH NETWORK, INC DBA HEREFORD

Laboratory Demographics

  • CLIA Code: 45D0506643
  • Facility Name: REGENCE HEALTH NETWORK, INC DBA HEREFORD
  • Facility Address: 125 WEST PARK AVE
    HEREFORD, TX
    ZIP 79045
  • Facility Phone: 806 364-7688
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: ROBERT M. BIDWELL
  • NPI Number: 1588662027
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0506643
LAB Type Federally Qualified Health Center
Facility Name REGENCE HEALTH NETWORK, INC DBA HEREFORD
Street 125 WEST PARK AVE
City HEREFORD
State TX
ZIP 79045
Phone 806 364-7688
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Federally Qualified Health Center
Lab Director ROBERT M. BIDWELL

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