45D1034426 CLIA NUMBER - MARTIN COUNTY FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 45D1034426
  • Facility Name: MARTIN COUNTY FAMILY CLINIC
  • Facility Address: 600 EAST I-20 SUITE D 104 *
    STANTON, TX
    ZIP 79782
  • Facility Phone: 432 607-3243
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CALVIN CARGILL
  • NPI Number: 1679560866
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D1034426
LAB Type Rural Health Clinic
Facility Name MARTIN COUNTY FAMILY CLINIC
Street 600 EAST I-20 SUITE D 104 *
City STANTON
State TX
ZIP 79782
Phone 432 607-3243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Rural Health Clinic
Lab Director CALVIN CARGILL

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