45D1027921 CLIA NUMBER - COMMUNITY HEALTHCORE

Laboratory Demographics

  • CLIA Code: 45D1027921
  • Facility Name: COMMUNITY HEALTHCORE
  • Facility Address: 107 WOODBINE PLACE
    LONGVIEW, TX
    ZIP 75601
  • Facility Phone: 903 758-2471
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GREGORY R. MONTOYA
  • NPI Number: 1235598806
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1027921
LAB Type Community Clinic
Facility Name COMMUNITY HEALTHCORE
Street 107 WOODBINE PLACE
City LONGVIEW
State TX
ZIP 75601
Phone 903 758-2471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Community Clinic
Lab Director GREGORY R. MONTOYA

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This page was last updated on: 3/20/2025