45D0934827 CLIA NUMBER - RAPHAEL COMMUNITY FREE CLINIC INC

Laboratory Demographics

  • CLIA Code: 45D0934827
  • Facility Name: RAPHAEL COMMUNITY FREE CLINIC INC
  • Facility Address: 1807 WATER STREET
    KERRVILLE, TX
    ZIP 78028
  • Facility Phone: 830 895-4201
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: SISTER MARGE M. NOVAK
  • NPI Number: 1033258710
  • Taxonomy: 251V00000X - Voluntary or Charitable

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0934827
LAB Type Community Clinic
Facility Name RAPHAEL COMMUNITY FREE CLINIC INC
Street 1807 WATER STREET
City KERRVILLE
State TX
ZIP 78028
Phone 830 895-4201
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Community Clinic
Lab Director SISTER MARGE M. NOVAK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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