45D0912948 CLIA NUMBER - WOLFFORTH COMMUNITY HEALTH CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 45D0912948
  • Facility Name: WOLFFORTH COMMUNITY HEALTH CENTER LABORATORY
  • Facility Address: 502 EAST HIGHWAY 62-82
    WOLFFORTH, TX
    ZIP 79382
  • Facility Phone: 806 866-0158
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: FLOYD ERNEST PIRTLE
  • NPI Number: 1952596009
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D0912948
LAB Type Community Clinic
Facility Name WOLFFORTH COMMUNITY HEALTH CENTER LABORATORY
Street 502 EAST HIGHWAY 62-82
City WOLFFORTH
State TX
ZIP 79382
Phone 806 866-0158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Community Clinic
Lab Director FLOYD ERNEST PIRTLE

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