45D2255679 CLIA NUMBER - GLASSCOCK COUNTY ISD

Laboratory Demographics

  • CLIA Code: 45D2255679
  • Facility Name: GLASSCOCK COUNTY ISD
  • Facility Address: 240 W. BEARKAT
    GARDEN CITY, TX
    ZIP 79739
  • Facility Phone: 432 354-2905
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SASHA D. GOODWIN
  • NPI Number: 1033596598
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2255679
LAB Type School/Student Health Service
Facility Name GLASSCOCK COUNTY ISD
Street 240 W. BEARKAT
City GARDEN CITY
State TX
ZIP 79739
Phone 432 354-2905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type School/Student Health Service
Lab Director SASHA D. GOODWIN

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