45D0868113 CLIA NUMBER - HARDIN COUNTY WIC

Laboratory Demographics

  • CLIA Code: 45D0868113
  • Facility Name: HARDIN COUNTY WIC
  • Facility Address: 1135 REDWOOD STREET
    KOUNTZE, TX
    ZIP 77625
  • Facility Phone: 409 246-8383
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LETASHA JONES
  • NPI Number: 1447464441
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 45D0868113
LAB Type Other
Facility Name HARDIN COUNTY WIC
Street 1135 REDWOOD STREET
City KOUNTZE
State TX
ZIP 77625
Phone 409 246-8383
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 Other
Lab Director LETASHA JONES

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