45D0903180 CLIA NUMBER - TARLETON STATE UNIV - STUDENT HLTH CTR

Laboratory Demographics

  • CLIA Code: 45D0903180
  • Facility Name: TARLETON STATE UNIV - STUDENT HLTH CTR
  • Facility Address: 600 N ROME
    STEPHENVILLE, TX
    ZIP 76401
  • Facility Phone: 254 968-9936
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: BRIDGETTE A. BEDNARZ
  • NPI Number: 1215727722
  • Taxonomy: 207QS0010X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0903180
LAB Type School/Student Health Service
Facility Name TARLETON STATE UNIV - STUDENT HLTH CTR
Street 600 N ROME
City STEPHENVILLE
State TX
ZIP 76401
Phone 254 968-9936
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 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type School/Student Health Service
Lab Director BRIDGETTE A. BEDNARZ

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