45D0978208 CLIA NUMBER - FAMILY HEALTHCARE

Laboratory Demographics

  • CLIA Code: 45D0978208
  • Facility Name: FAMILY HEALTHCARE
  • Facility Address: 1273 SOUTH PEACHTREE STREET
    JASPER, TX
    ZIP 75951
  • Facility Phone: 409 384-9200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DURBA MISHRA
  • NPI Number: 1578755898
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0978208
LAB Type Physician Office
Facility Name FAMILY HEALTHCARE
Street 1273 SOUTH PEACHTREE STREET
City JASPER
State TX
ZIP 75951
Phone 409 384-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director DURBA MISHRA

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