45D0957382 CLIA NUMBER - ADVANCED CARDIOVASCULAR SPECIALSTS LLP

Laboratory Demographics

  • CLIA Code: 45D0957382
  • Facility Name: ADVANCED CARDIOVASCULAR SPECIALSTS LLP
  • Facility Address: 755 N 11TH STREET SUITE P2200
    BEAUMONT, TX
    ZIP 77702
  • Facility Phone: 409 892-1192
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDOLPH LOMBARDO
  • NPI Number: 1366416919
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0957382
LAB Type Physician Office
Facility Name ADVANCED CARDIOVASCULAR SPECIALSTS LLP
Street 755 N 11TH STREET SUITE P2200
City BEAUMONT
State TX
ZIP 77702
Phone 409 892-1192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director RANDOLPH LOMBARDO

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