45D1005846 CLIA NUMBER - GARY R CLAYTON, MD, PA

Laboratory Demographics

  • CLIA Code: 45D1005846
  • Facility Name: GARY R CLAYTON, MD, PA
  • Facility Address: 740 HOSPITAL DR STE 210
    BEAUMONT, TX
    ZIP 77701
  • Facility Phone: 409 839-4757
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY R. CLAYTON MD
  • NPI Number: 1154438620
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1005846
LAB Type Physician Office
Facility Name GARY R CLAYTON, MD, PA
Street 740 HOSPITAL DR STE 210
City BEAUMONT
State TX
ZIP 77701
Phone 409 839-4757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director GARY R. CLAYTON MD

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This page was last updated on: 6/4/2025