45D0665741 CLIA NUMBER - JEFFERSON COUNTY SATELLITE MONTHLY CLN

Laboratory Demographics

  • CLIA Code: 45D0665741
  • Facility Name: JEFFERSON COUNTY SATELLITE MONTHLY CLN
  • Facility Address: 2748 VITERBO ROAD
    BEAUMONT, TX
    ZIP 77705
  • Facility Phone: 409 724-7848
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: AUSTIN C. WALKES MD
  • NPI Number: 1790256071
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D0665741
LAB Type Other
Facility Name JEFFERSON COUNTY SATELLITE MONTHLY CLN
Street 2748 VITERBO ROAD
City BEAUMONT
State TX
ZIP 77705
Phone 409 724-7848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director AUSTIN C. WALKES MD

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