45D1087647 CLIA NUMBER - FAMILY CARE CENTER BOGATA

Laboratory Demographics

  • CLIA Code: 45D1087647
  • Facility Name: FAMILY CARE CENTER BOGATA
  • Facility Address: 250 MT PLESANT RD
    BOGATA, TX
    ZIP 75417
  • Facility Phone: 903 632-0111
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PATRICIA A. HIGGINS
  • NPI Number: 1386401834
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1087647
LAB Type Community Clinic
Facility Name FAMILY CARE CENTER BOGATA
Street 250 MT PLESANT RD
City BOGATA
State TX
ZIP 75417
Phone 903 632-0111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Community Clinic
Lab Director PATRICIA A. HIGGINS

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