45D1056497 CLIA NUMBER - MSONTHI B LEVINE MD

Laboratory Demographics

  • CLIA Code: 45D1056497
  • Facility Name: MSONTHI B LEVINE MD
  • Facility Address: 3080 MILAM ST
    BEAUMONT, TX
    ZIP 77701
  • Facility Phone: 409 347-3621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MSONTHI B. LEVINE
  • NPI Number: 1962430413
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1056497
LAB Type Physician Office
Facility Name MSONTHI B LEVINE MD
Street 3080 MILAM ST
City BEAUMONT
State TX
ZIP 77701
Phone 409 347-3621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director MSONTHI B. LEVINE

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