45D1083227 CLIA NUMBER - SOUTHEAST TEXAS PHLEBOTOMY INSTITUTE, INC

Laboratory Demographics

  • CLIA Code: 45D1083227
  • Facility Name: SOUTHEAST TEXAS PHLEBOTOMY INSTITUTE, INC
  • Facility Address: 3720 WEST LUCAS DRIVE
    BEAUMONT, TX
    ZIP 77706
  • Facility Phone: 409 434-7496
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: PAMELA DAVIS-JOLIVET
  • NPI Number: 1912191750
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 45D1083227
LAB Type School/Student Health Service
Facility Name SOUTHEAST TEXAS PHLEBOTOMY INSTITUTE, INC
Street 3720 WEST LUCAS DRIVE
City BEAUMONT
State TX
ZIP 77706
Phone 409 434-7496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type School/Student Health Service
Lab Director PAMELA DAVIS-JOLIVET

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