45D2135117 CLIA NUMBER - RYAN M GUILLORY, MD PA

Laboratory Demographics

  • CLIA Code: 45D2135117
  • Facility Name: RYAN M GUILLORY, MD PA
  • Facility Address: 912 WALNUT HILL DRIVE
    LONGVIEW, TX
    ZIP 75605
  • Facility Phone: 903 291-6300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN M. GUILLORY
  • NPI Number: 1104947175
  • Taxonomy: 207Y00000X - Otolaryngology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2135117
LAB Type Physician Office
Facility Name RYAN M GUILLORY, MD PA
Street 912 WALNUT HILL DRIVE
City LONGVIEW
State TX
ZIP 75605
Phone 903 291-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director RYAN M. GUILLORY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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