45D2301315 CLIA NUMBER - KELLCY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 45D2301315
  • Facility Name: KELLCY MEDICAL GROUP
  • Facility Address: 204 CAMP WILLOW ROAD
    NEW BRAUNFELS, TX
    ZIP 78130
  • Facility Phone: 210 365-7051
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIA R. KELLCY
  • NPI Number: 1881813806
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2301315
LAB Type Physician Office
Facility Name KELLCY MEDICAL GROUP
Street 204 CAMP WILLOW ROAD
City NEW BRAUNFELS
State TX
ZIP 78130
Phone 210 365-7051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director JULIA R. KELLCY

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