45D2289135 CLIA NUMBER - CASTLE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2289135
  • Facility Name: CASTLE SURGERY CENTER
  • Facility Address: 3075 WEST SOUTHLAKE BLVD
    SOUTHLAKE, TX
    ZIP 76092
  • Facility Phone: 817 310-1065
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD L. VERA
  • NPI Number: 1992451389
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2289135
LAB Type Physician Office
Facility Name CASTLE SURGERY CENTER
Street 3075 WEST SOUTHLAKE BLVD
City SOUTHLAKE
State TX
ZIP 76092
Phone 817 310-1065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Physician Office
Lab Director RICHARD L. VERA

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