45D2242126 CLIA NUMBER - GLADEWATER ISD

Laboratory Demographics

  • CLIA Code: 45D2242126
  • Facility Name: GLADEWATER ISD
  • Facility Address: 200 E BROADWAY
    GLADEWATER, TX
    ZIP 75647
  • Facility Phone: 903 845-6921
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JENNIFER WILLIAMS
  • NPI Number: 1730544834
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2242126
LAB Type School/Student Health Service
Facility Name GLADEWATER ISD
Street 200 E BROADWAY
City GLADEWATER
State TX
ZIP 75647
Phone 903 845-6921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type School/Student Health Service
Lab Director JENNIFER WILLIAMS

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