45D2119194 CLIA NUMBER - MARATHON HEALTH AT CARGILL - FRIONA

Laboratory Demographics

  • CLIA Code: 45D2119194
  • Facility Name: MARATHON HEALTH AT CARGILL - FRIONA
  • Facility Address: 1005 WEST 1ST ST, SUITE C
    HEREFORD, TX
    ZIP 79045
  • Facility Phone: 802 857-0400
  • Facility Type: Other - ONSITE HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: MELINDA BURNEY
  • NPI Number: 1932726213
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2119194
LAB Type Other - ONSITE HEALTH CENTER
Facility Name MARATHON HEALTH AT CARGILL - FRIONA
Street 1005 WEST 1ST ST, SUITE C
City HEREFORD
State TX
ZIP 79045
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Other - ONSITE HEALTH CENTER
Lab Director MELINDA BURNEY

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