45D2003095 CLIA NUMBER - JACKSONVILLE HOSPITAL, LLC

Laboratory Demographics

  • CLIA Code: 45D2003095
  • Facility Name: JACKSONVILLE HOSPITAL, LLC
  • Facility Address: 580 NORTH FRANKSTON HIGHWAY
    FRANKSTON, TX
    ZIP 75763
  • Facility Phone: 903 541-5396
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TODD HENDRICKSON
  • NPI Number: 1043719560
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2003095
LAB Type Rural Health Clinic
Facility Name JACKSONVILLE HOSPITAL, LLC
Street 580 NORTH FRANKSTON HIGHWAY
City FRANKSTON
State TX
ZIP 75763
Phone 903 541-5396
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Rural Health Clinic
Lab Director TODD HENDRICKSON

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