45D2089357 CLIA NUMBER - ST JOSEPH FAMILY MED BRYAN EAST

Laboratory Demographics

  • CLIA Code: 45D2089357
  • Facility Name: ST JOSEPH FAMILY MED BRYAN EAST
  • Facility Address: 3201 UNIVERSITY DRIVE, SUITE 340
    BRYAN, TX
    ZIP 77802
  • Facility Phone: 979 690-4808
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CHARITY A. KARPAC
  • NPI Number: 1679012710
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D2089357
LAB Type Community Clinic
Facility Name ST JOSEPH FAMILY MED BRYAN EAST
Street 3201 UNIVERSITY DRIVE, SUITE 340
City BRYAN
State TX
ZIP 77802
Phone 979 690-4808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Community Clinic
Lab Director CHARITY A. KARPAC

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