45D1090743 CLIA NUMBER - JOHN K BADLISSI MD

Laboratory Demographics

  • CLIA Code: 45D1090743
  • Facility Name: JOHN K BADLISSI MD
  • Facility Address: 2400 HWY 365 STE 205
    NEDERLAND, TX
    ZIP 77627
  • Facility Phone: 409 722-1197
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN K. BADLISSI, MD
  • NPI Number: 1578753265
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1090743
LAB Type Physician Office
Facility Name JOHN K BADLISSI MD
Street 2400 HWY 365 STE 205
City NEDERLAND
State TX
ZIP 77627
Phone 409 722-1197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director JOHN K. BADLISSI, MD

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