45D2196977 CLIA NUMBER - DIMMIT REGIONAL HOSPITAL RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 45D2196977
  • Facility Name: DIMMIT REGIONAL HOSPITAL RURAL HEALTH CLINIC
  • Facility Address: 1313 VETERANS BOULEVARD SUITE A
    CRYSTAL CITY, TX
    ZIP 78839
  • Facility Phone: (830) 374-9823
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ROBERT M. MENA
  • NPI Number: 1750901070
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2196977
LAB Type Rural Health Clinic
Facility Name DIMMIT REGIONAL HOSPITAL RURAL HEALTH CLINIC
Street 1313 VETERANS BOULEVARD SUITE A
City CRYSTAL CITY
State TX
ZIP 78839
Phone 8303749823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Rural Health Clinic
Lab Director ROBERT M. MENA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026