CLIA lab
CLIA 45D2003900: Fayette County EMS - Station 1
La Grange, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2003900 belongs to Fayette County EMS - Station 1 in La Grange, TX.
Certificate of Waiver, effective February 22, 2026, expires February 21, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 22, 2026
- Certificate expiration
- February 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 22, 2010
- Facility type
- Ambulance
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D2003900
- Lab name
- Fayette County EMS - Station 1
- Address
- 1721 N. Von Minden Rd, La Grange, TX 78945
- Phone
- (979) 968-8991
- Fax
- (979) 968-9488
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Wic ClinicCertificate of Waiver, Federally qualified health center45D0909315
- 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 EMS - Station 1 in La Grange?
45D2003900, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fayette County EMS - Station 1 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2003900 expire?
The CMS file lists February 21, 2028 as the certificate expiration date; the certificate took effect February 22, 2026.