45D0911311 CLIA NUMBER - KENEDY FAMILY PRACTICE DBA - KENEDY FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D0911311
  • Facility Name: KENEDY FAMILY PRACTICE DBA - KENEDY FAMILY PRACTICE
  • Facility Address: 113 W MAIN STREET
    KENEDY, TX
    ZIP 78119
  • Facility Phone: 830 583-3711
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DAVID P. HILL
  • NPI Number: 1487088118
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0911311
LAB Type Rural Health Clinic
Facility Name KENEDY FAMILY PRACTICE DBA - KENEDY FAMILY PRACTICE
Street 113 W MAIN STREET
City KENEDY
State TX
ZIP 78119
Phone 830 583-3711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Rural Health Clinic
Lab Director DAVID P. HILL

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