CLIA lab
CLIA 45D1064926: Lake Granbury Internal Medicine
Granbury, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1064926 belongs to Lake Granbury Internal Medicine in Granbury, TX.
Certificate for Provider-Performed Microscopy Procedures, effective February 15, 2025, expires February 14, 2027.
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
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- February 15, 2025
- Certificate expiration
- February 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 15, 2007
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D1064926
- Lab name
- Lake Granbury Internal Medicine
- Address
- 2005 Rockview Dr, Granbury, TX 76049
- Phone
- (817) 579-1005
- Fax
- (817) 579-1093
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Autumn Ridge Senior Living, IncCertificate of Waiver, Assisted living facility45D2205548
- Avir at GranburyCertificate of Waiver, Skilled nursing or nursing facility45D1070048
- Avir at PaluxyCertificate of Waiver, Skilled nursing or nursing facility45D0689565
- Aviva GranburyCertificate of Waiver, Assisted living facility45D2211746
- Bayside Dermatology, PACertificate for Provider-Performed Microscopy Procedures, Physician office45D1105005
- Best Value Ron's PharmacyCertificate of Waiver, Pharmacy45D0935365
- Brazos Pregnancy Center, IncCertificate of Waiver, Other45D2004296
Related
Questions
What is the CLIA number for Lake Granbury Internal Medicine in Granbury?
45D1064926, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Granbury Internal Medicine hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 45D1064926 expire?
The CMS file lists February 14, 2027 as the certificate expiration date; the certificate took effect February 15, 2025.