45D0864497 CLIA NUMBER - FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 45D0864497
  • Facility Name: FAMILY CLINIC
  • Facility Address: 2162 TEXAS AVE
    BRIDGE CITY, TX
    ZIP 77611
  • Facility Phone: 409 735-7157
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WESLEY PALMER DO
  • NPI Number: 1295804573
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0864497
LAB Type Physician Office
Facility Name FAMILY CLINIC
Street 2162 TEXAS AVE
City BRIDGE CITY
State TX
ZIP 77611
Phone 409 735-7157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director WESLEY PALMER DO

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