45D2317612 CLIA NUMBER - HEALTH HUB PHYSICIANS DBA BRAVO HEALTH TERLINGUA

Laboratory Demographics

  • CLIA Code: 45D2317612
  • Facility Name: HEALTH HUB PHYSICIANS DBA BRAVO HEALTH TERLINGUA
  • Facility Address: 199 REX IVEY RD
    TERLINGUA, TX
    ZIP 79852
  • Facility Phone: 424 353-2508
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: GLENN R. DAVIS, MD
  • NPI Number: 1457163024
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2317612
LAB Type Rural Health Clinic
Facility Name HEALTH HUB PHYSICIANS DBA BRAVO HEALTH TERLINGUA
Street 199 REX IVEY RD
City TERLINGUA
State TX
ZIP 79852
Phone 424 353-2508
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Rural Health Clinic
Lab Director GLENN R. DAVIS, MD

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