45D2001397 CLIA NUMBER - TEJAS HEALTH CARE

Laboratory Demographics

  • CLIA Code: 45D2001397
  • Facility Name: TEJAS HEALTH CARE
  • Facility Address: 890 E TRAVIS ST
    LA GRANGE, TX
    ZIP 78945
  • Facility Phone: 979 968-6596
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KYLE B. HUDSON
  • NPI Number: 1215326491
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2001397
LAB Type Federally Qualified Health Center
Facility Name TEJAS HEALTH CARE
Street 890 E TRAVIS ST
City LA GRANGE
State TX
ZIP 78945
Phone 979 968-6596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Federally Qualified Health Center
Lab Director KYLE B. HUDSON

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