45D1034334 CLIA NUMBER - TEXAS MEDCLINIC FM

Laboratory Demographics

  • CLIA Code: 45D1034334
  • Facility Name: TEXAS MEDCLINIC FM
  • Facility Address: 8341 AGORA PARKWAY
    SELMA, TX
    ZIP 78154
  • Facility Phone: 541 641-6053
  • Facility Type: Other - URGENT CARE
  • Facility Type: Microscopy
  • Lab Director: JEFFREY WEAVER
  • NPI Number: 1417312208
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1034334
LAB Type Other - URGENT CARE
Facility Name TEXAS MEDCLINIC FM
Street 8341 AGORA PARKWAY
City SELMA
State TX
ZIP 78154
Phone 541 641-6053
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Other - URGENT CARE
Lab Director JEFFREY WEAVER

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