45D2105660 CLIA NUMBER - QUALITY ACUTE CARE, PA DBA MAIN STREET URGENT CARE

Laboratory Demographics

  • CLIA Code: 45D2105660
  • Facility Name: QUALITY ACUTE CARE, PA DBA MAIN STREET URGENT CARE
  • Facility Address: 1421 S MAIN STREET, #111
    BOERNE, TX
    ZIP 78006
  • Facility Phone: 830 997-9995
  • Facility Type: Other - URGENT CARE FACLITIY
  • Facility Type: Waiver
  • Lab Director: GALE T. GREGORY-LAINE
  • NPI Number: 1255760054
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2105660
LAB Type Other - URGENT CARE FACLITIY
Facility Name QUALITY ACUTE CARE, PA DBA MAIN STREET URGENT CARE
Street 1421 S MAIN STREET, #111
City BOERNE
State TX
ZIP 78006
Phone 830 997-9995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Other - URGENT CARE FACLITIY
Lab Director GALE T. GREGORY-LAINE

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