45D2306138 CLIA NUMBER - ST JOSEPH FAMILY MEDICINE-SOUTH COLLEGE STATION STE A

Laboratory Demographics

  • CLIA Code: 45D2306138
  • Facility Name: ST JOSEPH FAMILY MEDICINE-SOUTH COLLEGE STATION STE A
  • Facility Address: 4421 HWY 6 STE 100
    COLLEGE STATION, TX
    ZIP 77845
  • Facility Phone: 979 690-4460
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CLINT CHENG
  • NPI Number: 1518651017
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2306138
LAB Type Community Clinic
Facility Name ST JOSEPH FAMILY MEDICINE-SOUTH COLLEGE STATION STE A
Street 4421 HWY 6 STE 100
City COLLEGE STATION
State TX
ZIP 77845
Phone 979 690-4460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Community Clinic
Lab Director CLINT CHENG

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