45D0996154 CLIA NUMBER - BUNA MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0996154
  • Facility Name: BUNA MEDICAL CLINIC
  • Facility Address: 35607 HWY 96 SOUTH
    BUNA, TX
    ZIP 77612
  • Facility Phone: 409 994-9323
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GAYLE A. PUGH
  • NPI Number: 1306066568
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0996154
LAB Type Community Clinic
Facility Name BUNA MEDICAL CLINIC
Street 35607 HWY 96 SOUTH
City BUNA
State TX
ZIP 77612
Phone 409 994-9323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Community Clinic
Lab Director GAYLE A. PUGH

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