45D2133011 CLIA NUMBER - INTEGRITY URGENT CARE

Laboratory Demographics

CLIA Number: 45D2133011

Facility Name: INTEGRITY URGENT CARE

Facility Address:
3010 E HIGHWAY 190, SUITE 254
COPPERAS COVE, TX
ZIP 76522
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Facility Phone Number: 979 703-1832

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1780037127

Taxonomy: 261QR0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2133011
LAB Type	Other - URGENT CARE
Facility Name	INTEGRITY URGENT CARE
Street	3010 E HIGHWAY 190, SUITE 254
City	COPPERAS COVE
State	TX
ZIP	76522
Phone	979 703-1832
CertificateType	4
CertificateEffectiveDate	7/3/2023
CertificateExpirationDate	7/2/2025
FacilityType	Waiver

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