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45D1017843 CLIA NUMBER - JOSE AUDIE E LIM, MD, PA

Laboratory Demographics

CLIA Number: 45D1017843

Facility Name: JOSE AUDIE E LIM, MD, PA

Facility Address:
4210 KELL BLVD SUITE 211
WICHITA FALLS, TX
ZIP 76309
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Facility Phone Number: 940 767-5111

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1194947572

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 45D1017843
LAB Type Physician Office
Facility Name JOSE AUDIE E LIM, MD, PA
Street 4210 KELL BLVD SUITE 211
City WICHITA FALLS
State TX
ZIP 76309
Phone 940 767-5111
CertificateType 4
CertificateEffectiveDate 10/7/2023
CertificateExpirationDate 10/6/2025
FacilityType Waiver

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