45D0978466 CLIA NUMBER - GULF COAST FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 45D0978466

Facility Name: GULF COAST FAMILY MEDICINE

Facility Address:
10119 US 59 HWY
WHARTON, TX
ZIP 77488
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Facility Phone Number: 979 532-1159

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1013910868

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0978466
LAB Type	Physician Office
Facility Name	GULF COAST FAMILY MEDICINE
Street	10119 US 59 HWY
City	WHARTON
State	TX
ZIP	77488
Phone	979 532-1159
CertificateType	3
CertificateEffectiveDate	9/26/2022
CertificateExpirationDate	9/25/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024