45D2221439 CLIA NUMBER - COGDELL SPECIALTY CLINIC

Laboratory Demographics

  • CLIA Code: 45D2221439
  • Facility Name: COGDELL SPECIALTY CLINIC
  • Facility Address: 1700 COGDELL BLVD COGDELL SPECIALTY CLINIC
    SNYDER, TX
    ZIP 79549
  • Facility Phone: 325 573-6374
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: WILLIAMS S. DICKINSON
  • NPI Number: 1104293737
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2221439
LAB Type Rural Health Clinic
Facility Name COGDELL SPECIALTY CLINIC
Street 1700 COGDELL BLVD COGDELL SPECIALTY CLINIC
City SNYDER
State TX
ZIP 79549
Phone 325 573-6374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Rural Health Clinic
Lab Director WILLIAMS S. DICKINSON

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