45D0671194 CLIA NUMBER - COMMUNITY CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 45D0671194
  • Facility Name: COMMUNITY CHILDRENS CLINIC
  • Facility Address: 1101 EAST FRONT STREET
    MIDLAND, TX
    ZIP 79701
  • Facility Phone: 432 686-8593
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CAROLYN RHODE
  • NPI Number: 1316745466
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0671194
LAB Type Community Clinic
Facility Name COMMUNITY CHILDRENS CLINIC
Street 1101 EAST FRONT STREET
City MIDLAND
State TX
ZIP 79701
Phone 432 686-8593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Community Clinic
Lab Director CAROLYN RHODE

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