45D0707500 CLIA NUMBER - STOCKDALE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D0707500
  • Facility Name: STOCKDALE MEDICAL CENTER
  • Facility Address: 601 PERSON STREET
    STOCKDALE, TX
    ZIP 78160
  • Facility Phone: 830 996-3701
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DARYL C. CURRIER
  • NPI Number: 1326264532
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D0707500
LAB Type Physician Office
Facility Name STOCKDALE MEDICAL CENTER
Street 601 PERSON STREET
City STOCKDALE
State TX
ZIP 78160
Phone 830 996-3701
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 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Physician Office
Lab Director DARYL C. CURRIER

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