45D2052863 CLIA NUMBER - DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM, PLLC

Laboratory Demographics

  • CLIA Code: 45D2052863
  • Facility Name: DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM, PLLC
  • Facility Address: 3480 COLLEGE STREET
    BEAUMONT, TX
    ZIP 77701
  • Facility Phone: 409 730-2039
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH STOUT
  • NPI Number: 1477933299
  • Taxonomy: 261QR0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2052863
LAB Type Physician Office
Facility Name DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM, PLLC
Street 3480 COLLEGE STREET
City BEAUMONT
State TX
ZIP 77701
Phone 409 730-2039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director KEITH STOUT

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