45D2308760 CLIA NUMBER - KILLEEN URAENT CARE

Laboratory Demographics

  • CLIA Code: 45D2308760
  • Facility Name: KILLEEN URAENT CARE
  • Facility Address: 1601 E RANCIER AVE
    KILLEEN, TX
    ZIP 76541
  • Facility Phone: 254 498-1503
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: LINCOLN, G. COFFIE
  • NPI Number: 1588402838
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2308760
LAB Type Other - URGENT CARE
Facility Name KILLEEN URAENT CARE
Street 1601 E RANCIER AVE
City KILLEEN
State TX
ZIP 76541
Phone 254 498-1503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Other - URGENT CARE
Lab Director LINCOLN, G. COFFIE

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