45D1034334 CLIA NUMBER - TEXAS MEDCLINIC FM

Laboratory Demographics

CLIA Number: 45D1034334

Facility Name: TEXAS MEDCLINIC FM

Facility Address:
8341 AGORA PARKWAY
SELMA, TX
ZIP 78154
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Facility Phone Number: 541 641-6053

Facility Type: Other - URGENT CARE

Certificate Type: Microscopy

NPI Number: 1417312208

Taxonomy: 261QU0200X - Clinic/Center

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
CertificateType	3
CertificateEffectiveDate	12/1/2022
CertificateExpirationDate	11/30/2024
FacilityType	PPMP

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