45D2329276 CLIA NUMBER - ALPHA GI PATHOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 45D2329276
  • Facility Name: ALPHA GI PATHOLOGY PLLC
  • Facility Address: 902 PRESKITT RD SUITE 300
    DECATUR, TX
    ZIP 76234
  • Facility Phone: 940 626-1864
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: GHULAM ILYAS
  • NPI Number: 1396622627
  • Taxonomy: 207ZP0101X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 45D2329276
LAB Type Physician Office
Facility Name ALPHA GI PATHOLOGY PLLC
Street 902 PRESKITT RD SUITE 300
City DECATUR
State TX
ZIP 76234
Phone 940 626-1864
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Physician Office
Lab Director GHULAM ILYAS

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