45D0969927 CLIA NUMBER - JACQUELENE MITCHELL ADIELE MD PA

Laboratory Demographics

  • CLIA Code: 45D0969927
  • Facility Name: JACQUELENE MITCHELL ADIELE MD PA
  • Facility Address: 3816 SOUTH CLEAR CREEK ROAD SUITE A
    KILLEEN, TX
    ZIP 76549
  • Facility Phone: 254 200-2748
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELENE ADIELE MD
  • NPI Number: 1609896497
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0969927
LAB Type Physician Office
Facility Name JACQUELENE MITCHELL ADIELE MD PA
Street 3816 SOUTH CLEAR CREEK ROAD SUITE A
City KILLEEN
State TX
ZIP 76549
Phone 254 200-2748
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director JACQUELENE ADIELE MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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