45D2048063 CLIA NUMBER - FRONTERA HEALTHCARE NETWORK JUNCTION CLINIC

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Laboratory Demographics

CLIA Number: 45D2048063

Facility Name: FRONTERA HEALTHCARE NETWORK JUNCTION CLINIC

Facility Address:
1003 COLLEGE STREET
JUNCTION, TX
ZIP 76849
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Facility Phone Number: 352 446-3999

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1720660582

Taxonomy: 3336C0002X - Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

CLIA Record

Field Name	Field Value
CLIA Number	45D2048063
LAB Type	Federally Qualified Health Center
Facility Name	FRONTERA HEALTHCARE NETWORK JUNCTION CLINIC
Street	1003 COLLEGE STREET
City	JUNCTION
State	TX
ZIP	76849
Phone	352 446-3999
CertificateType	4
CertificateEffectiveDate	10/9/2022
CertificateExpirationDate	10/8/2024
FacilityType	Waiver

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