45D1032111 CLIA NUMBER - CACTUS HEALTH SERVICES INC

Laboratory Demographics

  • CLIA Code: 45D1032111
  • Facility Name: CACTUS HEALTH SERVICES INC
  • Facility Address: 700 N MAIN
    FORT STOCKTON, TX
    ZIP 79735
  • Facility Phone: 432 336-8110
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: RAHUL BOINPALLY
  • NPI Number: 1881974616
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1032111
LAB Type Federally Qualified Health Center
Facility Name CACTUS HEALTH SERVICES INC
Street 700 N MAIN
City FORT STOCKTON
State TX
ZIP 79735
Phone 432 336-8110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Federally Qualified Health Center
Lab Director RAHUL BOINPALLY

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