45D2069666 CLIA NUMBER - SPINETECH SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D2069666
  • Facility Name: SPINETECH SURGERY CENTER
  • Facility Address: 950 NORTH 11TH STREET SUITE 200
    BEAUMONT, TX
    ZIP 77702
  • Facility Phone: 409 299-5281
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MISTY BASS
  • NPI Number: 1497283048
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2069666
LAB Type Ambulatory Surgery Center
Facility Name SPINETECH SURGERY CENTER
Street 950 NORTH 11TH STREET SUITE 200
City BEAUMONT
State TX
ZIP 77702
Phone 409 299-5281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Ambulatory Surgery Center
Lab Director MISTY BASS

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