45D0930133 CLIA NUMBER - FRITCH MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0930133
  • Facility Name: FRITCH MEDICAL CLINIC
  • Facility Address: 700 WEST BROADWAY
    FRITCH, TX
    ZIP 79036
  • Facility Phone: 806 467-5880
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: GUADALUPE MONTOYA
  • NPI Number: 1689872020
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0930133
LAB Type Rural Health Clinic
Facility Name FRITCH MEDICAL CLINIC
Street 700 WEST BROADWAY
City FRITCH
State TX
ZIP 79036
Phone 806 467-5880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Rural Health Clinic
Lab Director GUADALUPE MONTOYA

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