45D1065115 CLIA NUMBER - HOPE MEDICAL/DENTAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D1065115
  • Facility Name: HOPE MEDICAL/DENTAL CLINIC
  • Facility Address: 111 MEADOWVIEW DR UNIT A
    CLEBURNE, TX
    ZIP 76033
  • Facility Phone: 817 641-5858
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: J MIKE WHITE
  • NPI Number: 1629393301
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 45D1065115
LAB Type Rural Health Clinic
Facility Name HOPE MEDICAL/DENTAL CLINIC
Street 111 MEADOWVIEW DR UNIT A
City CLEBURNE
State TX
ZIP 76033
Phone 817 641-5858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Rural Health Clinic
Lab Director J MIKE WHITE

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