45D0934575 CLIA NUMBER - TEARE MEMORIAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0934575
  • Facility Name: TEARE MEMORIAL CLINIC
  • Facility Address: 146 NORTH PIONEER *
    BOOKER, TX
    ZIP 79005
  • Facility Phone: 806 658-4531
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MANON CHILDERS
  • NPI Number: 1699844878
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0934575
LAB Type Other
Facility Name TEARE MEMORIAL CLINIC
Street 146 NORTH PIONEER *
City BOOKER
State TX
ZIP 79005
Phone 806 658-4531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Other
Lab Director MANON CHILDERS

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