45D2046662 CLIA NUMBER - SANDERSON RURAL HEALTH CENTER

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Laboratory Demographics

CLIA Number: 45D2046662

Facility Name: SANDERSON RURAL HEALTH CENTER

Facility Address:
213 PERSIMMON STREET
SANDERSON, TX
ZIP 79848
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Facility Phone Number: 432 336-4880

Facility Type: Rural Health Clinic

Certificate Type: Microscopy

NPI Number: 1518216902

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2046662
LAB Type	Rural Health Clinic
Facility Name	SANDERSON RURAL HEALTH CENTER
Street	213 PERSIMMON STREET
City	SANDERSON
State	TX
ZIP	79848
Phone	432 336-4880
CertificateType	3
CertificateEffectiveDate	9/10/2022
CertificateExpirationDate	9/9/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024