45D1097586 CLIA NUMBER - GILCREASE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 45D1097586
  • Facility Name: GILCREASE MEDICAL GROUP
  • Facility Address: 135 BUNTON CREEK ROAD SUITE 102
    KYLE, TX
    ZIP 78640
  • Facility Phone: (512) 268-2091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY L. GILCREASE
  • NPI Number: 1568654887
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1097586
LAB Type Physician Office
Facility Name GILCREASE MEDICAL GROUP
Street 135 BUNTON CREEK ROAD SUITE 102
City KYLE
State TX
ZIP 78640
Phone 5122682091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director GARY L. GILCREASE

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This page was last updated on: 6/29/2026