45D0947355 CLIA NUMBER - ANDRE P DESIRE MD

Laboratory Demographics

CLIA Number: 45D0947355

Facility Name: ANDRE P DESIRE MD

Facility Address:
1631 11TH ST
WICHITA FALLS, TX
ZIP 76301
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Facility Phone Number: 940 687-5000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1568427714

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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
CertificateType	4
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Waiver

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