45D0941652 CLIA NUMBER - NUECES COUNTY MHMR COMMUNITY CENTER

Laboratory Demographics

CLIA Code: 45D0941652
Facility Name: NUECES COUNTY MHMR COMMUNITY CENTER
Facility Address: 1630 S BROWNLEE ATTN AMALIA BUSTAMANTE
CORPUS CHRISTI, TX
ZIP 78404
Facility Phone: 361 886-6900
Facility Type: Other
Facility Type: Waiver
Lab Director: MIKE DAVIS
NPI Number: 1033784178
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	45D0941652
LAB Type	Other
Facility Name	NUECES COUNTY MHMR COMMUNITY CENTER
Street	1630 S BROWNLEE ATTN AMALIA BUSTAMANTE
City	CORPUS CHRISTI
State	TX
ZIP	78404
Phone	361 886-6900
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/27/2024
Certificate Expiration Date	2/26/2026
Facility Type	Other
Lab Director	MIKE DAVIS

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