45D2243297 CLIA NUMBER - JESSE GORLEY, MD, PLLC

Laboratory Demographics

  • CLIA Code: 45D2243297
  • Facility Name: JESSE GORLEY, MD, PLLC
  • Facility Address: 1411 9TH ST
    WICHITA FALLS, TX
    ZIP 76301
  • Facility Phone: 940 386-9041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSE GORLEY
  • NPI Number: 1346452760
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2243297
LAB Type Physician Office
Facility Name JESSE GORLEY, MD, PLLC
Street 1411 9TH ST
City WICHITA FALLS
State TX
ZIP 76301
Phone 940 386-9041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Physician Office
Lab Director JESSE GORLEY

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