45D2166170 CLIA NUMBER - BAPTIST PHYSICIAN NETWORK CHINA COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 45D2166170
  • Facility Name: BAPTIST PHYSICIAN NETWORK CHINA COMMUNITY CLINIC
  • Facility Address: 415 N BROADWAY
    CHINA, TX
    ZIP 77613
  • Facility Phone: 409 212-5933
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTEN L. LINDSEY
  • NPI Number: 1033979398
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2166170
LAB Type Physician Office
Facility Name BAPTIST PHYSICIAN NETWORK CHINA COMMUNITY CLINIC
Street 415 N BROADWAY
City CHINA
State TX
ZIP 77613
Phone 409 212-5933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director KRISTEN L. LINDSEY

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