45D2111172 CLIA NUMBER - CC DOCTORS CENTER STAPLES

Laboratory Demographics

  • CLIA Code: 45D2111172
  • Facility Name: CC DOCTORS CENTER STAPLES
  • Facility Address: 4833 S STAPLES
    CORPUS CHRISTI, TX
    ZIP 78411
  • Facility Phone: 361 356-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH ROSE JAMES
  • NPI Number: 1881050052
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2111172
LAB Type Physician Office
Facility Name CC DOCTORS CENTER STAPLES
Street 4833 S STAPLES
City CORPUS CHRISTI
State TX
ZIP 78411
Phone 361 356-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director KEITH ROSE JAMES

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