CLIA lab
CLIA 45D1104766: Fayette Family and Specialty Clinic
La Grange, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1104766 belongs to Fayette Family and Specialty Clinic in La Grange, TX.
Certificate of Waiver, effective September 10, 2025, expires September 9, 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 of Waiver
- Certificate effective
- September 10, 2025
- Certificate expiration
- September 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 10, 2009
- Facility type
- Rural health clinic
- Ownership (control type)
- Private
- 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
- 45D1104766
- Lab name
- Fayette Family and Specialty Clinic
- Address
- 750 W Travis St, La Grange, TX 78945
- Phone
- (979) 968-2000
Annual test volume the lab reported
- Waived tests
- 550
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Fayette County EMS - Station 1Certificate of Waiver, Ambulance45D2003900
- Fayette County Wic ClinicCertificate of Waiver, Federally qualified health center45D0909315
- Heb Pharmacy #416Certificate of Waiver, Pharmacy45D1072242
- Mcbroom Clinic PACertificate for Provider-Performed Microscopy Procedures, Physician office45D0717793
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- Shannon Juno MDCertificate for Provider-Performed Microscopy Procedures, Physician office45D1084006
Related
Questions
What is the CLIA number for Fayette Family and Specialty Clinic in La Grange?
45D1104766, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fayette Family and Specialty Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D1104766 expire?
The CMS file lists September 9, 2027 as the certificate expiration date; the certificate took effect September 10, 2025.