45D1075717 CLIA NUMBER - COMMUNITY ACTION CORPORATION OF SOUTH TEXAS DBA MATHIS SCHOOL BASED HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 45D1075717
  • Facility Name: COMMUNITY ACTION CORPORATION OF SOUTH TEXAS DBA MATHIS SCHOOL BASED HEALTH CENTER
  • Facility Address: 213 S DUVAL
    MATHIS, TX
    ZIP 78368
  • Facility Phone: 361 664-1417
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: VANDANA KAMAT
  • NPI Number: 1396182739
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1075717
LAB Type School/Student Health Service
Facility Name COMMUNITY ACTION CORPORATION OF SOUTH TEXAS DBA MATHIS SCHOOL BASED HEALTH CENTER
Street 213 S DUVAL
City MATHIS
State TX
ZIP 78368
Phone 361 664-1417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type School/Student Health Service
Lab Director VANDANA KAMAT

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