45D1052943 CLIA NUMBER - MICHAEL S GROCKI MD PA

Laboratory Demographics

  • CLIA Code: 45D1052943
  • Facility Name: MICHAEL S GROCKI MD PA
  • Facility Address: 703 HILL COUNTRY DRIVE, SUITE 201
    KERRVILLE, TX
    ZIP 78028
  • Facility Phone: 830 896-6100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. GROCKI
  • NPI Number: 1619103330
  • Taxonomy: 101Y00000X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 45D1052943
LAB Type Physician Office
Facility Name MICHAEL S GROCKI MD PA
Street 703 HILL COUNTRY DRIVE, SUITE 201
City KERRVILLE
State TX
ZIP 78028
Phone 830 896-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director MICHAEL S. GROCKI

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