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45D2277369 CLIA NUMBER - SOUTH TEXAS PRIMARY CLINIC

Laboratory Demographics

CLIA Number: 45D2277369

Facility Name: SOUTH TEXAS PRIMARY CLINIC

Facility Address:
590 EAST MAIN STREET
EAGLE PASS, TX
ZIP 78852
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Facility Phone Number: 830 773-3331

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1003247198

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 45D2277369
LAB Type Physician Office
Facility Name SOUTH TEXAS PRIMARY CLINIC
Street 590 EAST MAIN STREET
City EAGLE PASS
State TX
ZIP 78852
Phone 830 773-3331
CertificateType 4
CertificateEffectiveDate 2/26/2023
CertificateExpirationDate 2/25/2025
FacilityType Waiver

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