45D1064071 CLIA NUMBER - JOHN L FORSYTHE MD PA

Laboratory Demographics

  • CLIA Code: 45D1064071
  • Facility Name: JOHN L FORSYTHE MD PA
  • Facility Address: 2300 HWY 365, STE 230
    NEDERLAND, TX
    ZIP 77627
  • Facility Phone: 409 722-0808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN L. FORSYTHE, MD PA
  • NPI Number: 1326047457
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1064071
LAB Type Physician Office
Facility Name JOHN L FORSYTHE MD PA
Street 2300 HWY 365, STE 230
City NEDERLAND
State TX
ZIP 77627
Phone 409 722-0808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director JOHN L. FORSYTHE, MD PA

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