45D0954697 CLIA NUMBER - SHORELINE INC

Laboratory Demographics

  • CLIA Code: 45D0954697
  • Facility Name: SHORELINE INC
  • Facility Address: 1220 GREGORY STREET
    TAFT, TX
    ZIP 78390
  • Facility Phone: 361 643-6643
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SHAREL L. ZACHARIAS
  • NPI Number: 1962559252
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0954697
LAB Type Other
Facility Name SHORELINE INC
Street 1220 GREGORY STREET
City TAFT
State TX
ZIP 78390
Phone 361 643-6643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Other
Lab Director SHAREL L. ZACHARIAS

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