45D2135019 CLIA NUMBER - FAIRMOUNT FAMILY PRACTICE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2135019
  • Facility Name: FAIRMOUNT FAMILY PRACTICE, PLLC
  • Facility Address: 303 LANDINGS LANE
    HEMPHILL, TX
    ZIP 75948
  • Facility Phone: 409 579-2044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHARON BYLEY
  • NPI Number: 1801317722
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2135019
LAB Type Physician Office
Facility Name FAIRMOUNT FAMILY PRACTICE, PLLC
Street 303 LANDINGS LANE
City HEMPHILL
State TX
ZIP 75948
Phone 409 579-2044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director SHARON BYLEY

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