45D2215927 CLIA NUMBER - FT STOCKTON VA

Laboratory Demographics

  • CLIA Code: 45D2215927
  • Facility Name: FT STOCKTON VA
  • Facility Address: 1205 N SYCAMORE
    FORT STOCKTON, TX
    ZIP 79735
  • Facility Phone: 432 336-8116
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: YAYHA ELSHIMALI
  • NPI Number: 1568469872
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2215927
LAB Type Community Clinic
Facility Name FT STOCKTON VA
Street 1205 N SYCAMORE
City FORT STOCKTON
State TX
ZIP 79735
Phone 432 336-8116
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/9/2021
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director YAYHA ELSHIMALI

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