45D2096282 CLIA NUMBER - REAGAN HOSPITAL DISTRICT DBA HICKMAN RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 45D2096282
  • Facility Name: REAGAN HOSPITAL DISTRICT DBA HICKMAN RURAL HEALTH CLINIC
  • Facility Address: 1300 N MAIN
    BIG LAKE, TX
    ZIP 76932
  • Facility Phone: 325 884-3743
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: JOSEPH E. SUDOLCAN
  • NPI Number: 1881697316
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D2096282
LAB Type Public Health Laboratories
Facility Name REAGAN HOSPITAL DISTRICT DBA HICKMAN RURAL HEALTH CLINIC
Street 1300 N MAIN
City BIG LAKE
State TX
ZIP 76932
Phone 325 884-3743
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Public Health Laboratories
Lab Director JOSEPH E. SUDOLCAN

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