45D2047703 CLIA NUMBER - MICHAEL J BADLISSI MD PA

Laboratory Demographics

  • CLIA Code: 45D2047703
  • Facility Name: MICHAEL J BADLISSI MD PA
  • Facility Address: 2300 HIGHWAY 365, STE 330
    NEDERLAND, TX
    ZIP 77627
  • Facility Phone: 409 727-7342
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. BADLISSI
  • NPI Number: 1801955349
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2047703
LAB Type Physician Office
Facility Name MICHAEL J BADLISSI MD PA
Street 2300 HIGHWAY 365, STE 330
City NEDERLAND
State TX
ZIP 77627
Phone 409 727-7342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director MICHAEL J. BADLISSI

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This page was last updated on: 3/20/2025