45D2005045 CLIA NUMBER - SOUTHWEST TEXAS TWO MEDICAL GROUP, PLLC

Laboratory Demographics

  • CLIA Code: 45D2005045
  • Facility Name: SOUTHWEST TEXAS TWO MEDICAL GROUP, PLLC
  • Facility Address: 1920 E STATE HWY 114
    SOUTHLAKE, TX
    ZIP 76092
  • Facility Phone: 817 653-5200
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. WILLIAM REILLY
  • NPI Number: 1205151271
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2005045
LAB Type Physician Office
Facility Name SOUTHWEST TEXAS TWO MEDICAL GROUP, PLLC
Street 1920 E STATE HWY 114
City SOUTHLAKE
State TX
ZIP 76092
Phone 817 653-5200
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Physician Office
Lab Director DR. WILLIAM REILLY

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