45D2011122 CLIA NUMBER - HODE INTERNAL MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 45D2011122
  • Facility Name: HODE INTERNAL MEDICINE PLLC
  • Facility Address: 730 E EUREKA ST
    WEATHERFORD, TX
    ZIP 76086
  • Facility Phone: (682) 582-2989
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HENRY O. EJERE
  • NPI Number: 1417370057
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2011122
LAB Type Physician Office
Facility Name HODE INTERNAL MEDICINE PLLC
Street 730 E EUREKA ST
City WEATHERFORD
State TX
ZIP 76086
Phone 6825822989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director HENRY O. EJERE

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This page was last updated on: 5/18/2026