45D0949775 CLIA NUMBER - SAMUEL C HARTMAN MD

Laboratory Demographics

  • CLIA Code: 45D0949775
  • Facility Name: SAMUEL C HARTMAN MD
  • Facility Address: 13725 FM 624 SUITE 230
    CORPUS CHRISTI, TX
    ZIP 78410
  • Facility Phone: 361 387-3616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL C. HARTMAN MD
  • NPI Number: 1619129673
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0949775
LAB Type Physician Office
Facility Name SAMUEL C HARTMAN MD
Street 13725 FM 624 SUITE 230
City CORPUS CHRISTI
State TX
ZIP 78410
Phone 361 387-3616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director SAMUEL C. HARTMAN MD

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