45D2312565 CLIA NUMBER - TEXAS NURSE ADVOCATE PLLC DBA BOERNE HEALTHCARE GROUP PLLC

Laboratory Demographics

  • CLIA Code: 45D2312565
  • Facility Name: TEXAS NURSE ADVOCATE PLLC DBA BOERNE HEALTHCARE GROUP PLLC
  • Facility Address: 17 OLD SAN ANTONIO ROAD, STE 202
    BOERNE, TX
    ZIP 78006
  • Facility Phone: 830 331-9880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE A. MOURRE
  • NPI Number: 1720791056
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2312565
LAB Type Physician Office
Facility Name TEXAS NURSE ADVOCATE PLLC DBA BOERNE HEALTHCARE GROUP PLLC
Street 17 OLD SAN ANTONIO ROAD, STE 202
City BOERNE
State TX
ZIP 78006
Phone 830 331-9880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director MICHELLE A. MOURRE

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