45D2283007 CLIA NUMBER - CLINICA FAMILIAR KYLE

Laboratory Demographics

  • CLIA Code: 45D2283007
  • Facility Name: CLINICA FAMILIAR KYLE
  • Facility Address: 21511 IH 35, SUITE 105
    KYLE, TX
    ZIP 78640
  • Facility Phone: 512 262-7307
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREYSI TAMAYO
  • NPI Number: 1033975933
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2283007
LAB Type Physician Office
Facility Name CLINICA FAMILIAR KYLE
Street 21511 IH 35, SUITE 105
City KYLE
State TX
ZIP 78640
Phone 512 262-7307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Physician Office
Lab Director GREYSI TAMAYO

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