45D2236093 CLIA NUMBER - WIMBERLEY DENTAL CENTER

Laboratory Demographics

CLIA Number: 45D2236093

Facility Name: WIMBERLEY DENTAL CENTER

Facility Address:
181 FM 3237
WIMBERLEY, TX
ZIP 78676
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Facility Phone Number: 512 847-8934

Facility Type: Other - DENTAL OFFICE

Certificate Type: Waiver

NPI Number: 1437685880

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D2236093
LAB Type	Other - DENTAL OFFICE
Facility Name	WIMBERLEY DENTAL CENTER
Street	181 FM 3237
City	WIMBERLEY
State	TX
ZIP	78676
Phone	512 847-8934
CertificateType	4
CertificateEffectiveDate	9/14/2023
CertificateExpirationDate	9/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024