45D2125438 CLIA NUMBER - HILL COUNTRY DERMATOLOGY

Laboratory Demographics

CLIA Number: 45D2125438

Facility Name: HILL COUNTRY DERMATOLOGY

Facility Address:
711 HILL COUNTRY DR
KERRVILLE, TX
ZIP 78028
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Facility Phone Number: 830 896-4002

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1689032658

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	45D2125438
LAB Type	Physician Office
Facility Name	HILL COUNTRY DERMATOLOGY
Street	711 HILL COUNTRY DR
City	KERRVILLE
State	TX
ZIP	78028
Phone	830 896-4002
CertificateType	2
CertificateEffectiveDate	5/10/2024
CertificateExpirationDate	5/9/2026
FacilityType	Compliance

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This page was last updated on: 4/23/2024