45D2325197 CLIA NUMBER - WOUND CARE CENTER OF TEXAS PLLC (DBA THIRD RIVER HEALTH)

Laboratory Demographics

  • CLIA Code: 45D2325197
  • Facility Name: WOUND CARE CENTER OF TEXAS PLLC (DBA THIRD RIVER HEALTH)
  • Facility Address: 1512 HOLLEMAN DR.
    COLLEGE STATION, TX
    ZIP 77840
  • Facility Phone: 979 426-4325
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PAUL GOEN
  • NPI Number: 1710780234
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2325197
LAB Type Community Clinic
Facility Name WOUND CARE CENTER OF TEXAS PLLC (DBA THIRD RIVER HEALTH)
Street 1512 HOLLEMAN DR.
City COLLEGE STATION
State TX
ZIP 77840
Phone 979 426-4325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Community Clinic
Lab Director PAUL GOEN

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