45D2065842 CLIA NUMBER - ALTUS LUMBERTON HOSPITAL, LLC

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Laboratory Demographics

CLIA Number: 45D2065842

Facility Name: ALTUS LUMBERTON HOSPITAL, LLC

Facility Address:
137 NORTH LHS DRIVE ATTN KATIE GORDON
LUMBERTON, TX
ZIP 77657
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Facility Phone Number: 409 755-2273

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1356776959

Taxonomy: 261QE0002X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2065842
LAB Type	Hospital
Facility Name	ALTUS LUMBERTON HOSPITAL, LLC
Street	137 NORTH LHS DRIVE ATTN KATIE GORDON
City	LUMBERTON
State	TX
ZIP	77657
Phone	409 755-2273
CertificateType	2
CertificateEffectiveDate	12/18/2022
CertificateExpirationDate	12/17/2024
FacilityType	Compliance

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