45D0722752 CLIA NUMBER - TTUHSC - MC FRENCH ROBERTSON UNIT

Laboratory Demographics

CLIA Number: 45D0722752

Facility Name: TTUHSC - MC FRENCH ROBERTSON UNIT

Facility Address:
12071 FM 3522 (ROUTE 1)
ABILENE, TX
ZIP 79601
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Facility Phone Number: 806 743-3280

Facility Type: Prison

Certificate Type: Waiver

NPI Number: 1104490556

Taxonomy: 261QP2400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0722752
LAB Type	Prison
Facility Name	TTUHSC - MC FRENCH ROBERTSON UNIT
Street	12071 FM 3522 (ROUTE 1)
City	ABILENE
State	TX
ZIP	79601
Phone	806 743-3280
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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