45D2228215 CLIA NUMBER - CREEKSIDE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2228215
  • Facility Name: CREEKSIDE FAMILY PRACTICE
  • Facility Address: 1313 N STAGECOACH RD # 1362
    SALADO, TX
    ZIP 76571
  • Facility Phone: 254 290-4532
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JENNIFER ISTRE
  • NPI Number: 1487237954
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2228215
LAB Type Practitioner Other
Facility Name CREEKSIDE FAMILY PRACTICE
Street 1313 N STAGECOACH RD # 1362
City SALADO
State TX
ZIP 76571
Phone 254 290-4532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Practitioner Other
Lab Director JENNIFER ISTRE

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