45D2085482 CLIA NUMBER - BOGATA HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 45D2085482
  • Facility Name: BOGATA HEALTH CLINIC
  • Facility Address: 106 2ND ST NW
    BOGATA, TX
    ZIP 75417
  • Facility Phone: 903 632-0111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARY L. PALMER
  • NPI Number: 1194724898
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2085482
LAB Type Physician Office
Facility Name BOGATA HEALTH CLINIC
Street 106 2ND ST NW
City BOGATA
State TX
ZIP 75417
Phone 903 632-0111
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director MARY L. PALMER

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