45D2104701 CLIA NUMBER - EMERGENCY CLINIC LA VERNIA, THE

Laboratory Demographics

  • CLIA Code: 45D2104701
  • Facility Name: EMERGENCY CLINIC LA VERNIA, THE
  • Facility Address: 102 S FM 1346, SUITE 2
    LA VERNIA, TX
    ZIP 78121
  • Facility Phone: 830 779-3200
  • Facility Type: Other - FREE STANDING EMERGENCY R
  • Facility Type: Certificate of Compliance
  • Lab Director: DEREK GUILLORY
  • NPI Number: 1568835569
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2104701
LAB Type Other - FREE STANDING EMERGENCY R
Facility Name EMERGENCY CLINIC LA VERNIA, THE
Street 102 S FM 1346, SUITE 2
City LA VERNIA
State TX
ZIP 78121
Phone 830 779-3200
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Other - FREE STANDING EMERGENCY R
Lab Director DEREK GUILLORY

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