45D0973723 CLIA NUMBER - ORANGE FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 45D0973723
  • Facility Name: ORANGE FAMILY CLINIC
  • Facility Address: 3306 RIDGEMONT
    ORANGE, TX
    ZIP 77630
  • Facility Phone: 409 882-0995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICK S. POMONIS
  • NPI Number: 1780809236
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0973723
LAB Type Physician Office
Facility Name ORANGE FAMILY CLINIC
Street 3306 RIDGEMONT
City ORANGE
State TX
ZIP 77630
Phone 409 882-0995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director NICK S. POMONIS

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