45D2307335 CLIA NUMBER - PECAN GROVE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 45D2307335
  • Facility Name: PECAN GROVE SURGERY CENTER, LLC
  • Facility Address: 1111 E SARA SWAMY DR STE B
    SHERMAN, TX
    ZIP 75090
  • Facility Phone: 903 893-6311
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHIRIE HARBIN
  • NPI Number: 1699519652
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2307335
LAB Type Ambulatory Surgery Center
Facility Name PECAN GROVE SURGERY CENTER, LLC
Street 1111 E SARA SWAMY DR STE B
City SHERMAN
State TX
ZIP 75090
Phone 903 893-6311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Ambulatory Surgery Center
Lab Director SHIRIE HARBIN

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