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45D0930722 CLIA NUMBER - YOAKUM FAMILY PRACTICE YOAKUM COMMUNITY HOSPITAL

Laboratory Demographics

CLIA Number: 45D0930722

Facility Name: YOAKUM FAMILY PRACTICE YOAKUM COMMUNITY HOSPITAL

Facility Address:
1200 CARL RAMERT DRIVE, SUITE D
YOAKUM, TX
ZIP 77995
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Facility Phone Number: 361 293-7061

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1619399128

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 45D0930722
LAB Type Physician Office
Facility Name YOAKUM FAMILY PRACTICE YOAKUM COMMUNITY HOSPITAL
Street 1200 CARL RAMERT DRIVE, SUITE D
City YOAKUM
State TX
ZIP 77995
Phone 361 293-7061
CertificateType 4
CertificateEffectiveDate 7/17/2023
CertificateExpirationDate 7/16/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024