45D1056377 CLIA NUMBER - ELENA GUROVA, MD PA

Laboratory Demographics

  • CLIA Code: 45D1056377
  • Facility Name: ELENA GUROVA, MD PA
  • Facility Address: 519 N MAIN STREET
    CLEBURNE, TX
    ZIP 76033
  • Facility Phone: 817 645-5915
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELENA GUROVA
  • NPI Number: 1790862316
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1056377
LAB Type Physician Office
Facility Name ELENA GUROVA, MD PA
Street 519 N MAIN STREET
City CLEBURNE
State TX
ZIP 76033
Phone 817 645-5915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Physician Office
Lab Director ELENA GUROVA

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