CLIA lab
CLIA 45D0909315: Fayette County Wic Clinic
La Grange, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D0909315 belongs to Fayette County Wic Clinic in La Grange, TX.
Certificate of Waiver, effective October 18, 2026, expires October 17, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 18, 2026
- Certificate expiration
- October 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 30, 1995
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D0909315
- Lab name
- Fayette County Wic Clinic
- Address
- 275 Ellinger Road, La Grange, TX 78945
- Phone
- (979) 968-6391
- Fax
- (979) 968-6903
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in La Grange, TX
- Banks Pediatrics PLLCCertificate of Waiver, Physician office45D2176359
- Care Inn of LagrangeCertificate of Waiver, Skilled nursing or nursing facility45D0667701
- Ctvhcs - La Grange CbocCertificate of Accreditation, Community clinic45D2145474
- Fast Aid Urgent CareCertificate of Waiver, Physician office45D2239123
- Fayette County EMS - Station 1Certificate of Waiver, Ambulance45D2003900
- Fayette Family and Specialty ClinicCertificate of Waiver, Rural health clinic45D1104766
- Heb Pharmacy #416Certificate of Waiver, Pharmacy45D1072242
- Mcbroom Clinic PACertificate for Provider-Performed Microscopy Procedures, Physician office45D0717793
- Monument Hill Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility45D0506459
- Shannon Juno MDCertificate for Provider-Performed Microscopy Procedures, Physician office45D1084006
Related
Questions
What is the CLIA number for Fayette County Wic Clinic in La Grange?
45D0909315, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fayette County Wic Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D0909315 expire?
The CMS file lists October 17, 2028 as the certificate expiration date; the certificate took effect October 18, 2026.