45D0974223 CLIA NUMBER - DAILEY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0974223
  • Facility Name: DAILEY MEDICAL CLINIC
  • Facility Address: 1108 SOUTH BUFFALO
    CANTON, TX
    ZIP 75103
  • Facility Phone: 903 567-1910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIMMY W. DAILEY
  • NPI Number: 1619105442
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0974223
LAB Type Physician Office
Facility Name DAILEY MEDICAL CLINIC
Street 1108 SOUTH BUFFALO
City CANTON
State TX
ZIP 75103
Phone 903 567-1910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director JIMMY W. DAILEY

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