45D1031463 CLIA NUMBER - MARFA COMMUNITY HEALTH CLINIC

Laboratory Demographics

CLIA Number: 45D1031463

Facility Name: MARFA COMMUNITY HEALTH CLINIC

Facility Address:
210 S SUMMER STREET
MARFA, TX
ZIP 79843
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Facility Phone Number: 432 729-1800

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1013196625

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1031463
LAB Type	Federally Qualified Health Center
Facility Name	MARFA COMMUNITY HEALTH CLINIC
Street	210 S SUMMER STREET
City	MARFA
State	TX
ZIP	79843
Phone	432 729-1800
CertificateType	3
CertificateEffectiveDate	9/30/2022
CertificateExpirationDate	9/29/2024
FacilityType	PPMP

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