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

Laboratory Demographics

  • CLIA Code: 45D2188228
  • Facility Name: ELECTRA HOSPITAL DISTRICT DBA ELECTRA MEDICAL CLINIC
  • Facility Address: 1207 S BAILEY ST
    ELECTRA, TX
    ZIP 76360
  • Facility Phone: 940 495-4215
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: SHERIE RONDEAU
  • NPI Number: 1003439811
  • Taxonomy: 261QR1300X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Rural Health Clinic
Lab Director SHERIE RONDEAU

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