45D0881731 CLIA NUMBER - MILLS COUNTY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0881731
  • Facility Name: MILLS COUNTY MEDICAL CLINIC
  • Facility Address: 1510 HANNAH VALLEY ROAD
    GOLDTHWAITE, TX
    ZIP 76844
  • Facility Phone: 325 648-2263
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: DIEDRA WUENSCHEL MD
  • NPI Number: 1679756662
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D0881731
LAB Type Other
Facility Name MILLS COUNTY MEDICAL CLINIC
Street 1510 HANNAH VALLEY ROAD
City GOLDTHWAITE
State TX
ZIP 76844
Phone 325 648-2263
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 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Other
Lab Director DIEDRA WUENSCHEL MD

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