45D2304686 CLIA NUMBER - CHRISTUS SPOHN CANCER CENTER

Laboratory Demographics

  • CLIA Code: 45D2304686
  • Facility Name: CHRISTUS SPOHN CANCER CENTER
  • Facility Address: 1415 SANTA FE ST
    CORPUS CHRISTI, TX
    ZIP 78404
  • Facility Phone: 361 902-4398
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KRIS SULLIVAN
  • NPI Number: 1497947451
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2304686
LAB Type Community Clinic
Facility Name CHRISTUS SPOHN CANCER CENTER
Street 1415 SANTA FE ST
City CORPUS CHRISTI
State TX
ZIP 78404
Phone 361 902-4398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Community Clinic
Lab Director KRIS SULLIVAN

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