45D1015161 CLIA NUMBER - TCH FAMILY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 45D1015161

Facility Name: TCH FAMILY MEDICAL CLINIC

Facility Address:
104 NORTH BEECH STREET
WOODVILLE, TX
ZIP 75979
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Facility Phone Number: 409 283-2822

Facility Type: Rural Health Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1407186950

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1015161
LAB Type	Rural Health Clinic
Facility Name	TCH FAMILY MEDICAL CLINIC
Street	104 NORTH BEECH STREET
City	WOODVILLE
State	TX
ZIP	75979
Phone	409 283-2822
CertificateType	2
CertificateEffectiveDate	12/29/2023
CertificateExpirationDate	12/28/2025
FacilityType	Compliance

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