45D0981848 CLIA NUMBER - NGH RURAL HEALTHCLINIC BOWIE

Laboratory Demographics

  • CLIA Code: 45D0981848
  • Facility Name: NGH RURAL HEALTHCLINIC BOWIE
  • Facility Address: 504 MASON ST
    BOWIE, TX
    ZIP 76230
  • Facility Phone: 940 872-3333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANCE DINGLER
  • NPI Number: 1366915258
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0981848
LAB Type Physician Office
Facility Name NGH RURAL HEALTHCLINIC BOWIE
Street 504 MASON ST
City BOWIE
State TX
ZIP 76230
Phone 940 872-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director CHANCE DINGLER

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