45D2295609 CLIA NUMBER - MARATHON PRIMARY CARE SERVICES

Laboratory Demographics

  • CLIA Code: 45D2295609
  • Facility Name: MARATHON PRIMARY CARE SERVICES
  • Facility Address: 100 SW 1ST ST
    MARATHON, TX
    ZIP 79842
  • Facility Phone: 432 244-8446
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DANIELLE J. GALLO
  • NPI Number: 1194794230
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2295609
LAB Type Rural Health Clinic
Facility Name MARATHON PRIMARY CARE SERVICES
Street 100 SW 1ST ST
City MARATHON
State TX
ZIP 79842
Phone 432 244-8446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Rural Health Clinic
Lab Director DANIELLE J. GALLO

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