45D1039315 CLIA NUMBER - GREENVILLE HEALTHCARE ASSOCIATE

Laboratory Demographics

  • CLIA Code: 45D1039315
  • Facility Name: GREENVILLE HEALTHCARE ASSOCIATE
  • Facility Address: 4101 WESLEY ST SUITE C
    GREENVILLE, TX
    ZIP 75401
  • Facility Phone: 903 454-8111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEE G. MCCRARY JR
  • NPI Number: 1205976511
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1039315
LAB Type Physician Office
Facility Name GREENVILLE HEALTHCARE ASSOCIATE
Street 4101 WESLEY ST SUITE C
City GREENVILLE
State TX
ZIP 75401
Phone 903 454-8111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director DEE G. MCCRARY JR

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