45D2188228 CLIA NUMBER - ELECTRA HOSPITAL DISTRICT DBA ELECTRA MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 45D2188228

Facility Name: ELECTRA HOSPITAL DISTRICT DBA ELECTRA MEDICAL CLINIC

Facility Address:
1207 S BAILEY ST
ELECTRA, TX
ZIP 76360
Get Directions

Facility Phone Number: 940 495-4215

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1003439811

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2188228
LAB Type	Rural Health Clinic
Facility Name	ELECTRA HOSPITAL DISTRICT DBA ELECTRA MEDICAL CLINIC
Street	1207 S BAILEY ST
City	ELECTRA
State	TX
ZIP	76360
Phone	940 495-4215
CertificateType	4
CertificateEffectiveDate	7/14/2022
CertificateExpirationDate	7/13/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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