45D2049035 CLIA NUMBER - VERNON CLINIC,PLLC

Laboratory Demographics

  • CLIA Code: 45D2049035
  • Facility Name: VERNON CLINIC,PLLC
  • Facility Address: 1015 HILLCREST DR SUITE A
    VERNON, TX
    ZIP 76384
  • Facility Phone: 940 552-2530
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADANNA J. AMECHI-OBIGWE
  • NPI Number: 1992052039
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2049035
LAB Type Physician Office
Facility Name VERNON CLINIC,PLLC
Street 1015 HILLCREST DR SUITE A
City VERNON
State TX
ZIP 76384
Phone 940 552-2530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director ADANNA J. AMECHI-OBIGWE

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