45D2264262 CLIA NUMBER - PLUM CREEK SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 45D2264262
  • Facility Name: PLUM CREEK SURGERY CENTER, LLC
  • Facility Address: 4214 BENNER RD. BLDG 2
    KYLE, TX
    ZIP 78640
  • Facility Phone: 737 787-1882
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JUDE B. GEROY
  • NPI Number: 1487386124
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2264262
LAB Type Ambulatory Surgery Center
Facility Name PLUM CREEK SURGERY CENTER, LLC
Street 4214 BENNER RD. BLDG 2
City KYLE
State TX
ZIP 78640
Phone 737 787-1882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Ambulatory Surgery Center
Lab Director JUDE B. GEROY

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