45D1103916 CLIA NUMBER - BAPTIST BEAUMONT HOSPITAL BEHAVIORAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 45D1103916
  • Facility Name: BAPTIST BEAUMONT HOSPITAL BEHAVIORAL HEALTH CENTER
  • Facility Address: 3250 FANNIN ST
    BEAUMONT, TX
    ZIP 77701
  • Facility Phone: 409 212-7001
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JASON E. MATHERNE
  • NPI Number: 1457378333
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1103916
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BAPTIST BEAUMONT HOSPITAL BEHAVIORAL HEALTH CENTER
Street 3250 FANNIN ST
City BEAUMONT
State TX
ZIP 77701
Phone 409 212-7001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JASON E. MATHERNE

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