45D1105119 CLIA NUMBER - HAMILTON COUNTY HOSPITAL DISTRICT D/B/A FAMILY PRACTICE CLINIC OF MILLS COUNTY

Laboratory Demographics

  • CLIA Code: 45D1105119
  • Facility Name: HAMILTON COUNTY HOSPITAL DISTRICT D/B/A FAMILY PRACTICE CLINIC OF MILLS COUNTY
  • Facility Address: 1501 WEST FRONT STREET
    GOLDTHWAITE, TX
    ZIP 76844
  • Facility Phone: 325 648-2850
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. KIRSTEN STEGEMOLLER
  • NPI Number: 1720626609
  • Taxonomy: 273Y00000X - Rehabilitation Unit

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CLIA Record

Field Name Field Value
CLIA Number 45D1105119
LAB Type Rural Health Clinic
Facility Name HAMILTON COUNTY HOSPITAL DISTRICT D/B/A FAMILY PRACTICE CLINIC OF MILLS COUNTY
Street 1501 WEST FRONT STREET
City GOLDTHWAITE
State TX
ZIP 76844
Phone 325 648-2850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Rural Health Clinic
Lab Director DR. KIRSTEN STEGEMOLLER

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