Organization
CLUTCH DIAGNOSTICS, LLC
Active
Other names
Clutch Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REUBEN BUCKAREFF (CEO)
(404) 313-8830
Entity
Organization
Contact information
Practice address
320 COMMERCE ST, CHILDRESS, TX 79201-4526
(844) 429-4279
(888) 918-0496
Mailing address
320 COMMERCE ST, CHILDRESS, TX 79201-4526
(844) 429-4279
(888) 918-0496
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D2190362
CLIA
GA
Enumeration date
05/11/2021
Last updated
07/30/2024
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