45D2091403 CLIA NUMBER - PROJECT VIDA HEALTH CENTER - FT HANCOCK

Laboratory Demographics

  • CLIA Code: 45D2091403
  • Facility Name: PROJECT VIDA HEALTH CENTER - FT HANCOCK
  • Facility Address: 561 S KNOX
    FORT HANCOCK, TX
    ZIP 79839
  • Facility Phone: 915 533-7057
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. LUIS R. GARZA
  • NPI Number: 1922376128
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2091403
LAB Type Federally Qualified Health Center
Facility Name PROJECT VIDA HEALTH CENTER - FT HANCOCK
Street 561 S KNOX
City FORT HANCOCK
State TX
ZIP 79839
Phone 915 533-7057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Federally Qualified Health Center
Lab Director DR. LUIS R. GARZA

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