45D2091262 CLIA NUMBER - TEXAS A&M HEALTH FAMILY CARE NAVASOTA

Laboratory Demographics

  • CLIA Code: 45D2091262
  • Facility Name: TEXAS A&M HEALTH FAMILY CARE NAVASOTA
  • Facility Address: 1905 DOVE CROSSING LANE, SUITE C
    NAVASOTA, TX
    ZIP 77868
  • Facility Phone: 936 825-0755
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHERINE E. BLALOCK
  • NPI Number: 1295136737
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2091262
LAB Type Physician Office
Facility Name TEXAS A&M HEALTH FAMILY CARE NAVASOTA
Street 1905 DOVE CROSSING LANE, SUITE C
City NAVASOTA
State TX
ZIP 77868
Phone 936 825-0755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director KATHERINE E. BLALOCK

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