45D2118115 CLIA NUMBER - UNITED REGIONAL HEALTH CARE PHYSICIANS/PROVIDER WAIVED TESTING

Laboratory Demographics

  • CLIA Code: 45D2118115
  • Facility Name: UNITED REGIONAL HEALTH CARE PHYSICIANS/PROVIDER WAIVED TESTING
  • Facility Address: 1600 ELEVENTH STREET ATTN ADMINISTRATION
    WICHITA FALLS, TX
    ZIP 76301
  • Facility Phone: 940 764-3036
  • Facility Type: Other - PHYSICIAN TESTING IN HOSP
  • Facility Type: Waiver
  • Lab Director: LEE P. RODGERS
  • NPI Number: 1407890775
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2118115
LAB Type Other - PHYSICIAN TESTING IN HOSP
Facility Name UNITED REGIONAL HEALTH CARE PHYSICIANS/PROVIDER WAIVED TESTING
Street 1600 ELEVENTH STREET ATTN ADMINISTRATION
City WICHITA FALLS
State TX
ZIP 76301
Phone 940 764-3036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Other - PHYSICIAN TESTING IN HOSP
Lab Director LEE P. RODGERS

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