45D2128504 CLIA NUMBER - FAMILY CIRCLE OF CARE-ATHENS

Laboratory Demographics

CLIA Number: 45D2128504

Facility Name: FAMILY CIRCLE OF CARE-ATHENS

Facility Address:
1001 N PALESTINE STREET
ATHENS, TX
ZIP 75751
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Facility Phone Number: 903 535-9041

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1144575820

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2128504
LAB Type	Federally Qualified Health Center
Facility Name	FAMILY CIRCLE OF CARE-ATHENS
Street	1001 N PALESTINE STREET
City	ATHENS
State	TX
ZIP	75751
Phone	903 535-9041
CertificateType	4
CertificateEffectiveDate	6/29/2023
CertificateExpirationDate	6/28/2025
FacilityType	Waiver

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