45D2138235 CLIA NUMBER - DR PURL'S FASTCARE WALK IN CLINIC

Laboratory Demographics

CLIA Number: 45D2138235

Facility Name: DR PURL'S FASTCARE WALK IN CLINIC

Facility Address:
1524 GUY LANE PLAZA
DUMAS, TX
ZIP 79029
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Facility Phone Number: 806 948-1459

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275015885

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	45D2138235
LAB Type	Physician Office
Facility Name	DR PURL'S FASTCARE WALK IN CLINIC
Street	1524 GUY LANE PLAZA
City	DUMAS
State	TX
ZIP	79029
Phone	806 948-1459
CertificateType	4
CertificateEffectiveDate	10/12/2023
CertificateExpirationDate	10/11/2025
FacilityType	Waiver

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