45D1060137 CLIA NUMBER - BAPTIST PHYSICIAN NETWORK FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 45D1060137
  • Facility Name: BAPTIST PHYSICIAN NETWORK FAMILY MEDICINE
  • Facility Address: 3070 COLLEGE ST STE 205
    BEAUMONT, TX
    ZIP 77701
  • Facility Phone: 409 212-7939
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER N. WEBER
  • NPI Number: 1558485532
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1060137
LAB Type Physician Office
Facility Name BAPTIST PHYSICIAN NETWORK FAMILY MEDICINE
Street 3070 COLLEGE ST STE 205
City BEAUMONT
State TX
ZIP 77701
Phone 409 212-7939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director JENNIFER N. WEBER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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