45D0882632 CLIA NUMBER - ANDREWS COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 45D0882632
  • Facility Name: ANDREWS COUNTY HEALTH DEPARTMENT
  • Facility Address: 208 NW 2ND STREET
    ANDREWS, TX
    ZIP 79714
  • Facility Phone: 432 524-1434
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: GORDON MATTIMOE
  • NPI Number: 1861488694
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0882632
LAB Type Other
Facility Name ANDREWS COUNTY HEALTH DEPARTMENT
Street 208 NW 2ND STREET
City ANDREWS
State TX
ZIP 79714
Phone 432 524-1434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Other
Lab Director GORDON MATTIMOE

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