45D1085351 CLIA NUMBER - HEALTH INNOVATIONS CLINIC

Laboratory Demographics

  • CLIA Code: 45D1085351
  • Facility Name: HEALTH INNOVATIONS CLINIC
  • Facility Address: 1700 W BUSINESS 380
    DECATUR, TX
    ZIP 76234
  • Facility Phone: 940 627-7811
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RONALD W. WESTBROOK
  • NPI Number: 1124192679
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1085351
LAB Type Practitioner Other
Facility Name HEALTH INNOVATIONS CLINIC
Street 1700 W BUSINESS 380
City DECATUR
State TX
ZIP 76234
Phone 940 627-7811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Practitioner Other
Lab Director RONALD W. WESTBROOK

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