45D2253003 CLIA NUMBER - STONEHAVEN MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 45D2253003
  • Facility Name: STONEHAVEN MEDICAL GROUP
  • Facility Address: 4519 N GARFIELD ST STE 1
    MIDLAND, TX
    ZIP 79705
  • Facility Phone: 432 219-9200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICKEY W. HAMBY
  • NPI Number: 1982202263
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2253003
LAB Type Physician Office
Facility Name STONEHAVEN MEDICAL GROUP
Street 4519 N GARFIELD ST STE 1
City MIDLAND
State TX
ZIP 79705
Phone 432 219-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director RICKEY W. HAMBY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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