45D1052515 CLIA NUMBER - PRAIRIE VIEW A & M UNIVERSITY OWENS FRANKLIN HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 45D1052515
  • Facility Name: PRAIRIE VIEW A & M UNIVERSITY OWENS FRANKLIN HEALTH CENTER
  • Facility Address: REDA BLAND EVANS OJ BAKER
    PRAIRIE VIEW, TX
    ZIP 77446
  • Facility Phone: 936 857-2511
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: GLENN E. BERRY
  • NPI Number: 1639239874
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1052515
LAB Type School/Student Health Service
Facility Name PRAIRIE VIEW A & M UNIVERSITY OWENS FRANKLIN HEALTH CENTER
Street REDA BLAND EVANS OJ BAKER
City PRAIRIE VIEW
State TX
ZIP 77446
Phone 936 857-2511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type School/Student Health Service
Lab Director GLENN E. BERRY

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