45D2111804 CLIA NUMBER - HOMETOWN CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 45D2111804
  • Facility Name: HOMETOWN CLINIC, LLC
  • Facility Address: 2725 NE LOOP 286
    PARIS, TX
    ZIP 75460
  • Facility Phone: 903 905-4810
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PAULA L. GASTON
  • NPI Number: 1285010496
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2111804
LAB Type Practitioner Other
Facility Name HOMETOWN CLINIC, LLC
Street 2725 NE LOOP 286
City PARIS
State TX
ZIP 75460
Phone 903 905-4810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Practitioner Other
Lab Director PAULA L. GASTON

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