45D2197141 CLIA NUMBER - CHRISTUS FAMILY MEDICINE KINGSVILLE

Laboratory Demographics

  • CLIA Code: 45D2197141
  • Facility Name: CHRISTUS FAMILY MEDICINE KINGSVILLE
  • Facility Address: 1311 E GENERAL CAVAZOS BLVD, SUITE I
    KINGSVILLE, TX
    ZIP 78363
  • Facility Phone: 361 595-9460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AUTUMN MORALES
  • NPI Number: 1942356043
  • Taxonomy: 207XX0801X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D2197141
LAB Type Physician Office
Facility Name CHRISTUS FAMILY MEDICINE KINGSVILLE
Street 1311 E GENERAL CAVAZOS BLVD, SUITE I
City KINGSVILLE
State TX
ZIP 78363
Phone 361 595-9460
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 Physician Office
Lab Director AUTUMN MORALES

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