45D2087711 CLIA NUMBER - KICKAPOO COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 45D2087711
  • Facility Name: KICKAPOO COMMUNITY HEALTH CENTER
  • Facility Address: 2192 ROSITA VALLEY ROAD
    EAGLE PASS, TX
    ZIP 78852
  • Facility Phone: 830 421-5917
  • Facility Type: Other - TRIBAL HEALTH FACILITY
  • Facility Type: Certificate of Compliance
  • Lab Director: JORGE A. BARBOZA-SOSA
  • NPI Number: 1821159518
  • Taxonomy: 261QH0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2087711
LAB Type Other - TRIBAL HEALTH FACILITY
Facility Name KICKAPOO COMMUNITY HEALTH CENTER
Street 2192 ROSITA VALLEY ROAD
City EAGLE PASS
State TX
ZIP 78852
Phone 830 421-5917
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Other - TRIBAL HEALTH FACILITY
Lab Director JORGE A. BARBOZA-SOSA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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