45D0947355 CLIA NUMBER - ANDRE P DESIRE MD

Laboratory Demographics

  • CLIA Code: 45D0947355
  • Facility Name: ANDRE P DESIRE MD
  • Facility Address: 1631 11TH ST
    WICHITA FALLS, TX
    ZIP 76301
  • Facility Phone: 940 687-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDRE DESIRE MD
  • NPI Number: 1568427714
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0947355
LAB Type Physician Office
Facility Name ANDRE P DESIRE MD
Street 1631 11TH ST
City WICHITA FALLS
State TX
ZIP 76301
Phone 940 687-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director ANDRE DESIRE MD

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