45D2204897 CLIA NUMBER - SAMANTHA H GOODMAN, MD PLLC

Laboratory Demographics

  • CLIA Code: 45D2204897
  • Facility Name: SAMANTHA H GOODMAN, MD PLLC
  • Facility Address: 5 HOSPITAL DR SUITE B
    ABILENE, TX
    ZIP 79606
  • Facility Phone: 325 794-5421
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMANTHA GOODMAN
  • NPI Number: 1154558781
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2204897
LAB Type Physician Office
Facility Name SAMANTHA H GOODMAN, MD PLLC
Street 5 HOSPITAL DR SUITE B
City ABILENE
State TX
ZIP 79606
Phone 325 794-5421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director SAMANTHA GOODMAN

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This page was last updated on: 3/20/2025