45D0879564 CLIA NUMBER - GOLDEN TRIANGLE FAMILY CARE CENTER

Laboratory Demographics

  • CLIA Code: 45D0879564
  • Facility Name: GOLDEN TRIANGLE FAMILY CARE CENTER
  • Facility Address: 615 W ROUND BUNCH RD
    BRIDGE CITY, TX
    ZIP 77611
  • Facility Phone: 409 735-7305
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SERVET M. SATIR DO
  • NPI Number: 1053736652
  • Taxonomy: 163WR0006X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 45D0879564
LAB Type Physician Office
Facility Name GOLDEN TRIANGLE FAMILY CARE CENTER
Street 615 W ROUND BUNCH RD
City BRIDGE CITY
State TX
ZIP 77611
Phone 409 735-7305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director SERVET M. SATIR DO

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