CLIA Code Details

Clinical Laboratory Code : 45d2221579

SHANNON CLINIC KNICKERBOCKER (PHYSICIAN OFFICE)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 45D2221579
Clinical laboratory number
Lab Name SHANNON CLINIC KNICKERBOCKER
Laboratory Name
Lab Type Physician Office
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 325-481-2050
Laboratory telephone number
Fax 325-481-2192
Fax number of the provider.

Facility Location

Street Address 3555 KNICKERBOCKER RD SUITE 202
Primary location adress line
City SAN ANGELO
Primary location city name
State TX
Primary location state name
Zip 76904
Primary location postal code

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