45D2149696 CLIA NUMBER - THIRD COAST HEALTH

Laboratory Demographics

  • CLIA Code: 45D2149696
  • Facility Name: THIRD COAST HEALTH
  • Facility Address: 3560 S ALAMEDA # 4
    CORPUS CHRISTI, TX
    ZIP 78411
  • Facility Phone: 361 900-9969
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT WEBSTER
  • NPI Number: 1902044316
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 45D2149696
LAB Type Physician Office
Facility Name THIRD COAST HEALTH
Street 3560 S ALAMEDA # 4
City CORPUS CHRISTI
State TX
ZIP 78411
Phone 361 900-9969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director ROBERT WEBSTER

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