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

Laboratory Demographics

  • CLIA Code: 45D1017843
  • Facility Name: JOSE AUDIE E LIM, MD, PA
  • Facility Address: 4210 KELL BLVD SUITE 211
    WICHITA FALLS, TX
    ZIP 76309
  • Facility Phone: 940 767-5111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE AUDIE E. LIM
  • NPI Number: 1194947572
  • Taxonomy: 207R00000X - Internal Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2023
Certificate Expiration Date 10/6/2025
Facility Type Physician Office
Lab Director JOSE AUDIE E. LIM

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