Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
45D0971964
|
|
Clinical laboratory number
|
|
Lab Name
|
AUSTWELL-TIVOLI MEDICAL CLINIC
|
|
Laboratory Name
|
|
Lab Type
|
Community Clinic
|
|
Laboratory Type
|
|
Certificate Type
|
PPMP
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
361-286-0115
|
|
Laboratory telephone number
|
|
Fax
|
361-286-0256
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
106 WEST WILSON
|
|
Primary location adress line
|
|
City
|
TIVOLI
|
|
Primary location city name
|
|
State
|
TX
|
|
Primary location state name
|
|
Zip
|
77990
|
|
Primary location postal code
|