45D0703278 CLIA NUMBER - CHRISTUS TRINITY CLINIC

Laboratory Demographics

  • CLIA Code: 45D0703278
  • Facility Name: CHRISTUS TRINITY CLINIC
  • Facility Address: 1302 NORTH PACIFIC ATTN LABORATORY
    MINEOLA, TX
    ZIP 75773
  • Facility Phone: 903 569-5383
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYLE K. GULLY
  • NPI Number: 1275727125
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0703278
LAB Type Physician Office
Facility Name CHRISTUS TRINITY CLINIC
Street 1302 NORTH PACIFIC ATTN LABORATORY
City MINEOLA
State TX
ZIP 75773
Phone 903 569-5383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director KYLE K. GULLY

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