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45D0507300 CLIA NUMBER - CLARENDON FAMILY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 45D0507300

Facility Name: CLARENDON FAMILY MEDICAL CENTER

Facility Address:
ONE MEDICAL CENTER DRIVE
CLARENDON, TX
ZIP 79226
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Facility Phone Number: 806 874-3531

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1215315338

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 45D0507300
LAB Type Community Clinic
Facility Name CLARENDON FAMILY MEDICAL CENTER
Street ONE MEDICAL CENTER DRIVE
City CLARENDON
State TX
ZIP 79226
Phone 806 874-3531
CertificateType 4
CertificateEffectiveDate 4/26/2023
CertificateExpirationDate 4/25/2025
FacilityType Waiver

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