45D0977849 CLIA NUMBER - WALLACE H MANN MD

Laboratory Demographics

  • CLIA Code: 45D0977849
  • Facility Name: WALLACE H MANN MD
  • Facility Address: 202 SOUTH MCGEE ST
    BORGER, TX
    ZIP 79007
  • Facility Phone: 806 273-7118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WALLACE H. MANN
  • NPI Number: 1326036856
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0977849
LAB Type Physician Office
Facility Name WALLACE H MANN MD
Street 202 SOUTH MCGEE ST
City BORGER
State TX
ZIP 79007
Phone 806 273-7118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director WALLACE H. MANN

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