45D2086583 CLIA NUMBER - BEAR CREEK SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 45D2086583
  • Facility Name: BEAR CREEK SURGERY CENTER, LLC
  • Facility Address: 100 BOURLAND ROAD, SUITE 110
    KELLER, TX
    ZIP 76248
  • Facility Phone: 817 518-9130
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: BENJAMIN J. LANG
  • NPI Number: 1437552643
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2086583
LAB Type Ambulatory Surgery Center
Facility Name BEAR CREEK SURGERY CENTER, LLC
Street 100 BOURLAND ROAD, SUITE 110
City KELLER
State TX
ZIP 76248
Phone 817 518-9130
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 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Ambulatory Surgery Center
Lab Director BENJAMIN J. LANG

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