45D0682955 CLIA NUMBER - COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS

Laboratory Demographics

  • CLIA Code: 45D0682955
  • Facility Name: COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS
  • Facility Address: 228 ST GEORGE STREET
    GONZALES, TX
    ZIP 78629
  • Facility Phone: 830 672-6511
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ROLAND MEDELLIN DR
  • NPI Number: 1629471875
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0682955
LAB Type Community Clinic
Facility Name COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS
Street 228 ST GEORGE STREET
City GONZALES
State TX
ZIP 78629
Phone 830 672-6511
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 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Community Clinic
Lab Director ROLAND MEDELLIN DR

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This page was last updated on: 6/4/2025