CLIA lab

CLIA 45D0508883: Fort Davis Family Practice PA

Fort Davis, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D0508883 belongs to Fort Davis Family Practice PA in Fort Davis, TX.

Certificate of Waiver, effective June 23, 2026, expires June 22, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
June 23, 2026
Certificate expiration
June 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D0508883
Lab name
Fort Davis Family Practice PA
Address
#1 Memorial Square, Box 792, Fort Davis, TX 79734
Phone
(432) 426-3217
Fax
(432) 426-3084

Annual test volume the lab reported

Waived tests
4,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Related

Questions

What is the CLIA number for Fort Davis Family Practice PA in Fort Davis?

45D0508883, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fort Davis Family Practice PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D0508883 expire?

The CMS file lists June 22, 2028 as the certificate expiration date; the certificate took effect June 23, 2026.

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