45D0934827 CLIA NUMBER - RAPHAEL COMMUNITY FREE CLINIC INC

Laboratory Demographics

CLIA Number: 45D0934827

Facility Name: RAPHAEL COMMUNITY FREE CLINIC INC

Facility Address:
1807 WATER STREET
KERRVILLE, TX
ZIP 78028
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Facility Phone Number: 830 895-4201

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1033258710

Taxonomy: 251V00000X - Voluntary or Charitable

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
CertificateType	3
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	PPMP

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