45D2068279 CLIA NUMBER - TEXAS CITY CLINIC

Laboratory Demographics

  • CLIA Code: 45D2068279
  • Facility Name: TEXAS CITY CLINIC
  • Facility Address: 8030 FM 1765 STE C 102
    TEXAS CITY, TX
    ZIP 77591
  • Facility Phone: 832 660-7280
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CATHARINE NFORMANGUM
  • NPI Number: 1023490133
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D2068279
LAB Type Community Clinic
Facility Name TEXAS CITY CLINIC
Street 8030 FM 1765 STE C 102
City TEXAS CITY
State TX
ZIP 77591
Phone 832 660-7280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Community Clinic
Lab Director CATHARINE NFORMANGUM

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