45D1071254 CLIA NUMBER - GLEN G GUILLET MD PA

Laboratory Demographics

  • CLIA Code: 45D1071254
  • Facility Name: GLEN G GUILLET MD PA
  • Facility Address: 5875 N MAJOR DR STE 214
    BEAUMONT, TX
    ZIP 77713
  • Facility Phone: 409 896-5901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLEN G. GUILLET
  • NPI Number: 1326059577
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1071254
LAB Type Physician Office
Facility Name GLEN G GUILLET MD PA
Street 5875 N MAJOR DR STE 214
City BEAUMONT
State TX
ZIP 77713
Phone 409 896-5901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director GLEN G. GUILLET

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