45D0702474 CLIA NUMBER - FAMILY MEDICINE OF LEVELLAND

Laboratory Demographics

  • CLIA Code: 45D0702474
  • Facility Name: FAMILY MEDICINE OF LEVELLAND
  • Facility Address: 116 A JOHN DUPRE
    LEVELLAND, TX
    ZIP 79336
  • Facility Phone: 806 894-1514
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: WALTER BIGIT-MILLA
  • NPI Number: 1659360279
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0702474
LAB Type Rural Health Clinic
Facility Name FAMILY MEDICINE OF LEVELLAND
Street 116 A JOHN DUPRE
City LEVELLAND
State TX
ZIP 79336
Phone 806 894-1514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Rural Health Clinic
Lab Director WALTER BIGIT-MILLA

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