45D0882488 CLIA NUMBER - RUFE SNOW CLINIC INC

Laboratory Demographics

CLIA Number: 45D0882488

Facility Name: RUFE SNOW CLINIC INC

Facility Address:
6651 WATAUGA ROAD # 104
WATAUGA, TX
ZIP 76148
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Facility Phone Number: 817 498-6944

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1629469630

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0882488
LAB Type	Physician Office
Facility Name	RUFE SNOW CLINIC INC
Street	6651 WATAUGA ROAD # 104
City	WATAUGA
State	TX
ZIP	76148
Phone	817 498-6944
CertificateType	3
CertificateEffectiveDate	7/1/2023
CertificateExpirationDate	6/30/2025
FacilityType	PPMP

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