45D0922752 CLIA NUMBER - UTMB/CMC- LABORATORY SERVICES

Laboratory Demographics

  • CLIA Code: 45D0922752
  • Facility Name: UTMB/CMC- LABORATORY SERVICES
  • Facility Address: 3295 FM 3514
    BEAUMONT, TX
    ZIP 77705
  • Facility Phone: 409 772-3309
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ANTHONY OKORODUDU
  • NPI Number: 1497105084
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D0922752
LAB Type Other
Facility Name UTMB/CMC- LABORATORY SERVICES
Street 3295 FM 3514
City BEAUMONT
State TX
ZIP 77705
Phone 409 772-3309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Other
Lab Director ANTHONY OKORODUDU

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