45D0506739 CLIA NUMBER - MICHAEL T GRAVES MD

Laboratory Demographics

CLIA Number: 45D0506739

Facility Name: MICHAEL T GRAVES MD

Facility Address:
2404 YONKERS
PLAINVIEW, TX
ZIP 79072
Get Directions

Facility Phone Number: 806 293-5111

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1831631605

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	45D0506739
LAB Type	Physician Office
Facility Name	MICHAEL T GRAVES MD
Street	2404 YONKERS
City	PLAINVIEW
State	TX
ZIP	79072
Phone	806 293-5111
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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