45D0923721 CLIA NUMBER - STARR COUNTY MEMORIAL HOSPITAL FAMILY HEALTH CLINIC ROMA

Laboratory Demographics

  • CLIA Code: 45D0923721
  • Facility Name: STARR COUNTY MEMORIAL HOSPITAL FAMILY HEALTH CLINIC ROMA
  • Facility Address: 640 E BRAVO BLVD
    ROMA, TX
    ZIP 78584
  • Facility Phone: 210 487-5561
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RAYMOND S. MUSSETT
  • NPI Number: 1023173507
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0923721
LAB Type Other
Facility Name STARR COUNTY MEMORIAL HOSPITAL FAMILY HEALTH CLINIC ROMA
Street 640 E BRAVO BLVD
City ROMA
State TX
ZIP 78584
Phone 210 487-5561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Other
Lab Director RAYMOND S. MUSSETT

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