45D2057461 CLIA NUMBER - MOORE COUNTY FAMILY HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 45D2057461
  • Facility Name: MOORE COUNTY FAMILY HEALTH CLINIC
  • Facility Address: 110 S BLISS
    DUMAS, TX
    ZIP 79029
  • Facility Phone: 806 935-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUSTIN CORBIN
  • NPI Number: 1841806791
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2057461
LAB Type Physician Office
Facility Name MOORE COUNTY FAMILY HEALTH CLINIC
Street 110 S BLISS
City DUMAS
State TX
ZIP 79029
Phone 806 935-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director JUSTIN CORBIN

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